Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathleen St Jacques, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1740024678

Kathleen St Jacques, FNP-BC is a Nurse Practitioner in Frederick, Maryland. Qualified in 2024, 2 years ago. Practices with Amber Hill Physical Therapy Inc, a 333-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland and Virginia.

Years since qualifying
2
Licensed in
MD, VA
In the registry since
2024
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

63 Thomas Johnson Dr Ste E
Frederick, MD 21702-4399
Phone: (301) 694-7600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AC007237 (MD)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0024190510 (VA)

Record details

NPI number1740024678
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJune 25, 2024
Last updated in NPPESMarch 7, 2025
Certification dateMarch 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Amber Hill Physical Therapy Inc — 333 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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