Individual
MRS. JILL SUZANNE CODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
300 S CHURCH ST, MIDDLETOWN, MD 21769-8043
(301) 371-9000
(301) 371-8905
Mailing address
PO BOX 20, MIDDLETOWN, MD 21769-0020
(301) 371-9000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R225106
MD
363LF0000X
Family Nurse Practitioner
SP019745
PA
Other
Enumeration date
12/07/2018
Last updated
02/24/2023
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