Nevala, Jennifer L

Nevala, Jennifer L is an individual health care provider with primary practice located at 18101 Prince Philip Dr , Olney MD 20832-1514. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Nevala, Jennifer L can be contacted via phone (301) 598-5100.

Contact Information

Primary practice address
18101 Prince Philip Dr Olney MD 20832-1514
Phone: (301) 598-5100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R144190 Maryland

Profile Details

NPI number 1295850634
LBN Legal business name Nevala, Jennifer L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Jun 28th, 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 1295850634 NPPES
Maryland MEDICAID 405293500

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