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Individual

JESSICA ORTIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
821 N EUTAW ST STE 206, BALTIMORE, MD 21201-6302
(410) 246-4450
(410) 617-8326
Mailing address
821 N EUTAW ST STE 206, BALTIMORE, MD 21201-6302
(410) 246-4450
(410) 617-8326

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
R132827
MD

Other

Enumeration date
08/07/2015
Last updated
08/07/2015
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