Provider Demographics
NPI:1891086385
Name:THORPE-WILLIAMS, JEAN BARBARA (NP)
Entity type:Individual
Prefix:MRS
First Name:JEAN
Middle Name:BARBARA
Last Name:THORPE-WILLIAMS
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:12608 BLUE SKY DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20871-4496
Mailing Address - Country:US
Mailing Address - Phone:301-368-4536
Mailing Address - Fax:301-867-7681
Practice Address - Street 1:312 MARSHALL AVE STE 600
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-4861
Practice Address - Country:US
Practice Address - Phone:301-368-4536
Practice Address - Fax:301-867-7681
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-02
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDR213746363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health