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Organization
JADE HEALTH & WELLNESS, LLC
Active
Organization
JADE HEALTH & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESSA WILLIAMS CRNP, FNP-BC (EXECUTIVE DIRECTOR/CEO)
(443) 744-6214
Entity
Organization
Contact information
Practice address
3301 BELAIR RD, BALTIMORE, MD 21213-1257
(410) 929-3893
Mailing address
9627 EAVES DR, OWINGS MILLS, MD 21117-5919
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922514348
—
MD
Enumeration date
10/17/2019
Last updated
09/24/2020
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