Individual
JENNIFER M CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-6704
(410) 328-4124
Mailing address
PO BOX 64795, BALTIMORE, MD 21264-4795
(410) 328-6704
(410) 328-4124
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
R157410
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
R-157410
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027784300
—
MD
05
—
419136600
—
MD
Enumeration date
09/29/2008
Last updated
09/01/2021
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