Favazza, Jennifer L

Favazza, Jennifer L is an individual health care provider with primary practice located at 10175 Little Patuxent Pkwy , Columbia MD 21044-2655. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Favazza, Jennifer L can be contacted via phone (508) 561-9344.

Contact Information

Primary practice address
10175 Little Patuxent Pkwy Columbia MD 21044-2655
Phone: (508) 561-9344
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 266644 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 266644 Massachusetts

Profile Details

NPI number 1508050469
LBN Legal business name Favazza, Jennifer L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2007
Last updated Jun 5th, 2020 - about 4 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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