| Doctor Name: | MS. JEANETTE M POLLARD |
| NPI Number: | 1992824353 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN/PMH-BC |
| License Number: | R113923 |
| Business Practice Address: | 15841 Crabbs Branch Way Derwood, MD - 208556625 |
| Business Phone Number: | 3014046940 |
| Business Fax Number: | |
| Mailing Address: | 11006 Viers Mill Road, L15, 297 WHEATON |
| State: | MD |
| Postal Code: | 20902 |
| Phone Number: | 3014046940 |
| Fax Number: | |
| NPI Enumeration Date: | 03/28/2007 |
| NPI Last Update Date: | 05/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | R113923 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |