Healthcare Provider Details

I. General information

NPI: 1053724518
Provider Name (Legal Business Name): JESSICA CURRAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2014
Last Update Date: 06/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11120 NEW HAMPSHIRE AVE SUITE 411
SILVER SPRING MD
20904-2633
US

IV. Provider business mailing address

201 I ST NE APT 1202
WASHINGTON DC
20002-4449
US

V. Phone/Fax

Practice location:
  • Phone: 301-754-0505
  • Fax:
Mailing address:
  • Phone: 202-560-1515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberD0077802
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: