DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JEUELLE M OTTLEY SAM, PA-C

Active

MRS. JEUELLE M OTTLEY SAM, PA-C is a Physician Assistant healthcare provider located in TAKOMA PARK, Maryland. NPI 1740341924 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · TAKOMA PARK, MD

Registration Details

NPI Number
1740341924
Provider Type
Individual
Gender
Female
NPI Issued
Dec 12, 2006 (19.656006334212 yrs)
Last Updated
Mar 5, 2021
License
C0002743 (MD)

Practice Information

Address
7610 CARROLL AVE
SUITE 200
TAKOMA PARK, MD, 209126384
Browse MD providers · Browse ZIP 20912
Phone
3018912077
Fax
3018912080
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in TAKOMA PARK, MD

Name Credential NPI
ALLYSON L CONLEY PA 1124087986
JON W GONELLA PA 1437184744
PAUL D TUMMINELLO PA 1811905870
GREGG A VIGEANT PA 1417968421
MS. C. LYNNE DOBROVOLNY P.A. 1770621864
MR. DANIEL SHIFERAW PA-C 1184763591
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.