| Doctor Name: | MRS. DEBORAH ANN JOLISSAINT |
| NPI Number: | 1518017532 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN, FNP-BC, CM-BC |
| License Number: | 0001187527 |
| Business Practice Address: | 2480 Llewellyn Ave Fort George G Meade, MD - 207557081 |
| Business Phone Number: | 3016778318 |
| Business Fax Number: | 3016778013 |
| Mailing Address: | 10144 Saddlebrook Farm Trail, WOODSTOCK |
| State: | MD |
| Postal Code: | 21163 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/11/2007 |
| NPI Last Update Date: | 08/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0400X |
| License Number: | 0001187527 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Case Management |
| Taxonomy Definition: | |