MISS Jennifer Lacey Pantoja, NP is a family nurse practitioner in Fulton, MD. MISS Jennifer Lacey Pantoja, NP NPI is 1285093047. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
7625 MAPLE LAWN BLVD STE 1
FULTON, MD
ZIP 20759-565
Phone: (434) 610-9811
The NPI 1285093047 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 2/22/2016 and was last updated on 3/8/2022.