Individual
STELLA IJIYODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1111 N CHARLES ST, BALTIMORE, MD 21201-5505
(410) 837-2050
Mailing address
1111 N CHARLES ST, BALTIMORE, MD 21201-5505
(410) 837-2050
(866) 629-0091
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
23617
TN
363LF0000X
Family Nurse Practitioner
Primary
R149850
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101405516
TN DRIVER LICENCE
TN
Enumeration date
04/25/2018
Last updated
08/08/2022
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