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NPI Code Detail

MEDICARE: JACLYN SESSO

MEDICARE:   JACLYN  SESSO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerR211229MD

General Provider Information

NPI Number : 1588342794
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACLYN SESSO
Provider Business Mailing Address
First Line : 204 N STREEPER ST
Second Line :
City : BALTIMORE
State : MD
Zip : 21224-1228
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3901 LOCH RAVEN BLVD
Second Line :
City : BALTIMORE
State : MD
Zip : 21218-2109
Country : US
Telephone Number : 410-605-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2023
Last Update Date : 07/10/2023

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Directions to “ JACLYN SESSO ” Practice Location

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