Healthcare Provider Details

I. General information

NPI: 1699498907
Provider Name (Legal Business Name): PRECISE IMMEDIATE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2022
Last Update Date: 01/30/2024
Certification Date: 01/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1003 KINGS TREE DR
BOWIE MD
20721-1918
US

IV. Provider business mailing address

1003 KINGS TREE DR
BOWIE MD
20721-1918
US

V. Phone/Fax

Practice location:
  • Phone: 857-999-6122
  • Fax:
Mailing address:
  • Phone: 202-460-2515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SUZIE FATOU JACKATEY
Title or Position: OWNER/NURSE PRACTITIONER
Credential: NP
Phone: 857-999-6122