Individual
JERRICA O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
525 N WOLFE ST, BALTIMORE, MD 21205
(410) 614-0996
Mailing address
2905 GEORGE HILLEARY TER, UPPER MARLBORO, MD 20774-9317
(501) 258-3883
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R096584
AR
163W00000X
Registered Nurse
R266046
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
R266046
MD
Other
Enumeration date
07/01/2021
Last updated
07/16/2024
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