JACQUELINE SERGON
NPI 1053073254
Nurse Practitioner - Adult Health in Rockville, MD

Q: What is Jacqueline Sergon's NPI number?

The NPI number for Jacqueline Sergon is 1053073254. It was assigned to this individual provider in the NPPES registry on October 6, 2021.

Q: What is Jacqueline Sergon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Sergon was last updated on October 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since October 06, 2021

4629 GLASGOW DR, ROCKVILLE, MD 20853(301) 787-3555 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jacqueline Sergon NPPES

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

JACQUELINE SERGON (NPI 1053073254) is an individual adult health provider in Rockville, Maryland, licensed in District Of Columbia (RN1038653) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1053073254

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameJACQUELINE SERGON

Location Address4629 GLASGOW DRRockville, MD 20853-3036

Mailing Address4629 Glasgow DrRockville, MD 20853-3036 · (301) 787-3555

Phone(301) 787-3555

Sole ProprietorYes

Enumeration DateOctober 6, 2021

NPPES CertifiedOctober 6, 2021

✔ NPI 1053073254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in DC · RN1038653

4629 GLASGOW DR, Rockville, MD 20853

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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 Sergon's NPI number?

The NPI number for Jacqueline Sergon is 1053073254. It was assigned to this individual provider in the NPPES registry on October 6, 2021.

Where is Jacqueline Sergon located?

Jacqueline Sergon practices at 4629 Glasgow Dr, Rockville, MD 20853. The listed phone number is (301) 787-3555.

What is Jacqueline Sergon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Jacqueline Sergon was last updated on October 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.