Kathleen St Jacques, FNP-BC Valid NPI
Individual provider · Family Nurse Practitioner · Frederick, MD
- NPI
- 1740024678
- Type
- Individual (Type 1)
- Primary specialty
- Family Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LF0000X
- License number
- AC007237 (MD)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2024-06-25
- Last updated
- 2025-03-07
Practice location
63 Thomas Johnson Dr Ste E
Frederick, MD 21702-4399
(301) 694-7600