Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JACKIE AGNESS GONZALEZ
ActiveMS. JACKIE AGNESS GONZALEZ is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in WALDORF, Maryland. NPI 1407670094 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · WALDORF, MD
Registration Details
- NPI Number
- 1407670094
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 11, 2024 (1.7698951182211 yrs)
- Last Updated
- Nov 11, 2024
- License
-
R131587 (MD)
Practice Information
- Address
-
4307 EAGLE TRACE CTWALDORF, MD, 206023116Browse MD providers · Browse ZIP 20602
- Phone
- 3013517881
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Other Psychiatric/Mental Health Nurse Practitioner Providers in WALDORF, MD
| Name | Credential | NPI |
|---|---|---|
| NICOLA CLARKE WALLEN | PMHNP | 1659413615 |
| MRS. TAMU L ESCALERA | PMHNP-BC | 1215216999 |
| MS. HEATHER KENNEDY | PMHNP-BC | 1962763912 |
| DANIEL NDAMUKONG | — | 1447514187 |
| OLUDOLAPO HENRIETTA ALEBIOSU | — | 1871858704 |
| MR. EDNER CHARLES | PMHNP-BC | 1396171385 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.