Family Medicine, Adolescent Medicine
AMBUSH LAB
Identity confirmed via CMS NPPES · September 29, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1295671311 · enumerated 2026-04-29 · record updated 2026-04-29. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: JACQUELINE AMBUSH DNP, OWNER · (410) 707-5947
Addresses and phones
- Mailing address 4367 HOLLINS FERRY RD STE 1C, BALTIMORE, MD, 21227-3400 (410) 707-5947 Fax (410) 707-5947 Google Maps Apple Maps OpenStreetMap
- Practice location 4367 HOLLINS FERRY RD STE 1C, BALTIMORE, MD, 21227-3400 (410) 707-5947 Fax (410) 707-5947 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine, Adolescent Medicine 207QA0000X · Primary
In this directory
MD Baltimore County Baltimore Family Medicine, Adolescent Medicine
Locations and evidence
-
Practice location
BALTIMORE, MD, 212273400
Accepting new patientsNot reportedCMS NPPES · September 29, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.