Jerardi, Jean Litzen

Jerardi, Jean Litzen is an sole proprietor health care provider with primary practice located at 10852 Green Mountain Circle , Columbia MD 21044-2320. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Jerardi, Jean Litzen can be contacted via phone (410) 730-3328.

Contact Information

Primary practice address
10852 Green Mountain Circle Columbia MD 21044-2320
Phone: (410) 730-3328
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X R069010 Maryland

Profile Details

NPI number 1477531812
LBN Legal business name Jerardi, Jean Litzen
Credentials MSN, PMHCNS-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2006
Last updated Sep 21st, 2012 - about 12 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 1477531812 NPPES
Maryland MEDICAID 403575500

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