Individual
MS. JAGDEEP NICKI KAUR JOHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
16 S EUTAW ST, SUITE 400, BALTIMORE, MD 21201-1606
(410) 328-6866
Mailing address
915 S WOLFE ST, APT 510, BALTIMORE, MD 21231-3616
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R205025
MD
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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