Jane Johnston Balkam, PhD, APRN, CPNP,IBCL
Nurse Practitioner, Pediatrics in Bethesda, MD. Individual provider (NPI-1).
NPI number1649361585
StatusActive
Last updated in NPPESJan 24, 2016
Details
- NPI
- 1649361585
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jane Johnston Balkam
- Credential
- PhD, APRN, CPNP,IBCL
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 27, 2006
- Last updated
- Jan 24, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | R062391 | MD | Yes |
Practice location
10117 Parkwood TerBethesda, MD 20814-4035
Phone 301-656-2526 · Fax 301-897-8181
Mailing address
10117 Parkwood TerBethesda, MD 20814-4035
Phone 301-656-2526 · Fax 301-897-8181
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