MEDICARE: MS. JOANNE ELIZABETH KING NP

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
1	363LP2300X	Primary Care Nurse Practitioner	R072736	MD

General Provider Information

NPI Number	:	1215918016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JOANNE ELIZABETH KING NP

Provider Business Mailing Address
First Line	:	317 BRANCH DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-2615
Country	:	US
Telephone Number	:	301-593-0229
Fax Number	:

Provider Business Practice Location Address
First Line	:	8700 GEORGIA AVE
Second Line	:	SUITE 400
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3618
Country	:	US
Telephone Number	:	301-585-6049
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	07/08/2007

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