Provider Demographics
NPI:1699498907
Name:PRECISE IMMEDIATE CARE
Entity type:Organization
Organization Name:PRECISE IMMEDIATE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:SUZIE
Authorized Official - Middle Name:FATOU
Authorized Official - Last Name:JACKATEY
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:857-999-6122
Mailing Address - Street 1:1003 KINGS TREE DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-1918
Mailing Address - Country:US
Mailing Address - Phone:202-460-2515
Mailing Address - Fax:
Practice Address - Street 1:1003 KINGS TREE DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721-1918
Practice Address - Country:US
Practice Address - Phone:857-999-6122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-21
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty