Individual
JILL RENEE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1310 BELMONT AVE, STE 302, SALISBURY, MD 21804-4506
(443) 358-5388
(443) 458-0661
Mailing address
1310 BELMONT AVE, STE 302, SALISBURY, MD 21804-4506
(443) 358-5388
(443) 458-0661
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R140131
MD
Other
Enumeration date
03/07/2007
Last updated
05/28/2021
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