Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Ebony Ambush, PNPBC

Individual provider Primary Care Nurse Practitioner · NPI 1013335546

Jacqueline Ebony Ambush, PNPBC is a Primary Care Nurse Practitioner in Baltimore, Maryland. Works from 2 locations. Licensed in Maryland.

Licensed in
MD
In the registry since
2014
Specialties on file
2

Practice location Address checks out

4367 Hollins Ferry Rd STE.1C
Baltimore, MD 21227-3400
Phone: (410) 707-5947
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5252 Hollister St Ste 203c, Houston, TX 77040-6214 — (346) 678-4442

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence R117755 (MD)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence R117755 (MD)

Record details

NPI number1013335546
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNPBC
Sole proprietorNo
NPI enumeratedApril 2, 2014
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026

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