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JACQUELINE EBONY AMBUSH PNP BC
NPI 1013335546
Nurse Practitioner - Pediatrics in Baltimore, MD

Active since April 02, 2014
4367 HOLLINS FERRY RD, STE.1C, BALTIMORE, MD 21227(410) 707-5947 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline Ebony Ambush Pnp Bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE EBONY AMBUSH PNP BC (NPI 1013335546) is an individual pediatrics provider in Baltimore, Maryland, licensed in Maryland (R117755) and active in the NPI registry since April 2014. She maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1013335546
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJACQUELINE EBONY AMBUSHCredential: PNP BC
Location Address4367 HOLLINS FERRY RD, STE.1CBaltimore, MD 21227-3400
Mailing Address4367 Hollins Ferry Rd Ste 1cBaltimore, MD 21227-3400 · (410) 707-5947 · Fax (410) 609-6672
Phone(410) 707-5947
Sole ProprietorNo
Enumeration DateApril 2, 2014
Last NPPES UpdateApril 29, 2026
NPPES CertifiedApril 29, 2026
✔ NPI 1013335546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MD · R117755
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License R117755 (MD)
4367 HOLLINS FERRY RD, Baltimore, MD 21227
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Secondary Practice Location 1

Location 15252 Hollister St Ste 203CHouston, TX 77040-6214 · Phone (346) 678-4442 · Fax (346) 678-4442

Other Identifiers 1

OtherR117755MD · Maryland Board Of Nursing

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HENRY HONICK III D.D.S.
Dentist (General Practice)
4367 HOLLINS FERRY RD, SUITE 4C
BALTIMORE, MD 21227
Baltimore County (410) 536-7279
HALETHORPE ORTHODONTICS, LLC
Dentist (Orthodontics and Dentofacial Orthopedics)
4367 HOLLINS FERRY RD, SUITE 1D
BALTIMORE, MD 21227
Baltimore County (410) 565-6282
DR. GEETHA RAJA MD
Internal Medicine
4367 HOLLINS FERRY RD, SUITE 4A
BALTIMORE, MD 21227
Baltimore County (410) 242-6220
DR. DARLYNE CANGE, DPM, LLC
Podiatrist (Foot Surgery)
4367 HOLLINS FERRY RD, SUITE 4A
BALTIMORE, MD 21227
Baltimore County (410) 733-4770
ADEDAYO AKINLOFA CRNP
Nurse Practitioner (Family)
4367 HOLLINS FERRY RD
BALTIMORE, MD 21227
Baltimore County (443) 415-8427

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Ambush's NPI number?

The NPI number for Jacqueline Ambush is 1013335546. It was assigned to this individual provider in the NPPES registry on April 2, 2014.

Where is Jacqueline Ambush located?

Jacqueline Ambush practices at 4367 Hollins Ferry Rd Ste.1c, Baltimore, MD 21227. The listed phone number is (410) 707-5947.

What is Jacqueline Ambush's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Jacqueline Ambush was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.