Healthcare Provider Details

I. General information

NPI: 1194751149
Provider Name (Legal Business Name): JENNIFER JURGENS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 ROCKVILLE PIKE BLDG 9A
BETHESDA MD
20889-0003
US

IV. Provider business mailing address

4400 E WEST HWY APT 204
BETHESDA MD
20814-4524
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-4974
  • Fax:
Mailing address:
  • Phone: 301-907-8619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207U00000X
TaxonomyNuclear Medicine Physician
License NumberMD31460
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD31460
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: