Individual
JESINTHA STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 N WOLFE STREET, MEYER 8-134, BALTIMORE, MD 21287
(410) 614-4474
(410) 367-2770
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
311117
NY
207R00000X
Internal Medicine Physician
32984
OK
207R00000X
Internal Medicine Physician
D91866
MD
208M00000X
Hospitalist Physician
Primary
D91866
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2017
Last updated
10/20/2022
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