Individual
JENNIFER EVELYN SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-6662
(410) 328-6046
Mailing address
18 ARCHWOOD AVE, GLEN BURNIE, MD 21061-1949
(941) 779-4654
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
D0091009
MD
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/28/2017
Last updated
07/14/2021
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