Individual
PROF. JANE FAITH KAPUSTIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5005 SIGNAL BELL CT, STE 102, CLARKSVILLE, MD 21029-2607
(410) 531-7557
(410) 531-0818
Mailing address
5319 FIVE FINGERS WAY, COLUMBIA, MD 21045-2316
(410) 992-4484
(410) 706-0344
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R076707
MD
Other
Enumeration date
06/11/2005
Last updated
07/08/2007
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