Allen, Jada

Allen, Jada is an individual health care provider with primary practice located at 22 S Greene St , Baltimore MD 21201-1591. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Allen, Jada can be contacted via phone (410) 328-8667.

Contact Information

Primary practice address
22 S Greene St Baltimore MD 21201-1591
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R207359 Maryland

Profile Details

NPI number 1154960052
LBN Legal business name Allen, Jada
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2019
Last updated Dec 26th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154960052 NPPES
Maryland Other R207359 LICENSE #

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