Most Relevant Information
Provider Data
| NPI Number: | 1003564964 |
| Provider Name: | JILLIAN LYNN PRESTON FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | R198958 |
Most Important Dates
| Enumeration Date: | 03/10/2022 |
| Last Updated: | 03/10/2022 |
Provider Practice Location
166 DEFENSE HWY STE 101
ANNAPOLIS
MD
214018921
Practice Location Phone/Fax
| Phone: | 8774611564 |
| Fax: |
Provider Mailing Location
637 NEW JERSEY AVE NE
GLEN BURNIE
MD
210606859
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |