Individual
MRS. JENNIFER KATHERINE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
28105 THREE NOTCH RD # 1C, MECHANICSVILLE, MD 20659-3235
(301) 290-1510
(301) 290-1574
Mailing address
1512 ABBEY LN, HUNTINGTOWN, MD 20639-2310
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R194448
MD
Other
Enumeration date
02/25/2014
Last updated
04/10/2024
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