Individual
MRS. JESSICA LAKE BUHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1501 S CLINTON ST, BALTIMORE, MD 21224-5730
(866) 763-2211
Mailing address
1 LIBERTY PLZ STE 301, NEW YORK, NY 10006-1404
(917) 261-4414
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R089910
MD
Other
Enumeration date
01/04/2007
Last updated
07/26/2023
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