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NPI Code Detail

MEDICARE: ADOLICE MEDICAL SERVICES PLLC

MEDICARE: ADOLICE MEDICAL SERVICES PLLC
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 Practitioner
2363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1932667326
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADOLICE MEDICAL SERVICES PLLC
Provider Business Mailing Address
First Line : 7514 EASTERN AVE NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20012-1822
Country : US
Telephone Number : 202-531-2607
Fax Number :
Provider Business Practice Location Address
First Line : 8120 FENTON ST STE 204
Second Line :
City : SILVER SPRING
State : MD
Zip : 20910-4753
Country : US
Telephone Number : 202-531-2607
Fax Number :
Authorized Official
Title or Position : NURS PRACTITIONER
Name : DR. ALICE CHINYERE UKAEGBU
Credential : DNP, FNP-BC
Telephone Number : 202-531-2607
Provider Enumeration Date : 03/05/2019
Last Update Date : 04/25/2025

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Directions to “ADOLICE MEDICAL SERVICES PLLC ” Practice Location

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