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Contact Information

JERISE A AGHA, NP
901 HARRY S TRUMAN DR N
UPPER MARLBORO, MD20774-5477
 Phone: 240-677-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JERISE A AGHA · (Female)

NPI # 1275160566
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 03/25/2020
Last updated 06/16/2025 - About 12 months ago
Sole proprietor 1 No
Identifiers
  • MD License # AC005200
  • TX License # 845356
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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