JACQUELINE EBONY AMBUSH PNP BC
NPI 1013335546
Nurse Practitioner - Pediatrics in Baltimore, MD
NPI Status: Active since April 02, 2014
Contact Information
4367 HOLLINS FERRY RD
STE.1C
BALTIMORE, MD
ZIP 21227
Phone: (410) 707-5947
- Individual
- Female
- Nurse Practitioner
- Pediatrics
About JACQUELINE AMBUSH
This page provides the complete NPI Profile along with additional information for Jacqueline Ambush, a provider established in Baltimore, Maryland with a medical specialization in Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1013335546 assigned on April 2014. The practitioner's primary taxonomy code is 363LP0200X with license number R117755 (MD). The provider is registered as an individual and her NPI record was last updated April 2026.
- NPI
- 1013335546
- Provider Name
- JACQUELINE EBONY AMBUSH PNP BC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4367 HOLLINS FERRY RD STE.1C BALTIMORE, MD 21227
- Location Phone
- (410) 707-5947
- Mailing Address
- 4367 HOLLINS FERRY RD STE 1C BALTIMORE, MD 21227
- Mailing Phone
- (410) 707-5947
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-02-2014
- Last Update Date
- 04-29-2026
- Code Navigator
A nurse practitioner (NP) like Jacqueline Ambush is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 5252 Hollister St Ste 203C
Houston, TX 77040
(346) 678-4442
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Pediatrics
- Taxonomy Code
- 363LP0200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- R117755
- License State
- MD
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363LP2300X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | R117755 (MD) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| R117755 | OTHER (01) | MD | MARYLAND BOARD OF NURSING |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1013335546, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
BALTIMORE, MD 21227
BALTIMORE, MD 21227
BALTIMORE, MD 21227
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013335546, enumerated as an "individual" on April 02, 2014.
The provider is located at 4367 HOLLINS FERRY RD STE.1C BALTIMORE, MD 21227 and the phone number is (410) 707-5947.
Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
