NPI 1003343138

Tracy Jacinda Branch, PA

Practitioner Medical Physician Assistant Gaithersburg, MD

Practice location

Address: 8501 Plum Creek Dr, Gaithersburg, MD 20882-4438
Phone: (240) 246-7510
Mailing address: 5600 Fishers Ln # 16n164c, Rockville, MD 20852-1750

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 007573 (NY)

Other Physician Assistant providers in Maryland →

Registry record

NPI: 1003343138
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 May 2017
Record last updated: 19 May 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.