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NPI 1659243798 · live from the CMS NPI Registry

Advanced And Comprehensive Primary Care

Nurse Practitioner, Family in Washington, DC. National Provider Identifier 1659243798, active.

NPI record

NPI1659243798 Type 2 · organization
StatusActive
Primary specialtyNurse Practitioner, Family 363LF0000X
Practice location1647 Benning Rd Ne Ste 200, Washington, DC 20002
Practice phone202-525-1100
Mailing address12406 Buckley Dr, Silver Spring, MD 20904
EnumeratedSeptember 18, 2025
Last updatedSeptember 8, 2026
Authorized officialSally Young, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Family primary363LF0000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.