Lisa, Jennifer Anne

Lisa, Jennifer Anne is an sole proprietor health care provider with primary practice located at 1576 Merritt Blvd Ste 8 , Dundalk MD 21222-2114. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Lisa, Jennifer Anne can be contacted via phone (443) 530-6921.

Contact Information

Primary practice address
1576 Merritt Blvd Ste 8 Dundalk MD 21222-2114
Phone: (443) 530-6921
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R178139 Maryland

Profile Details

NPI number 1245014869
LBN Legal business name Lisa, Jennifer Anne
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2023
Last updated Aug 23rd, 2023 - about last year

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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