Individual
MRS. JADA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1591
(410) 328-8667
Mailing address
22 S GREENE ST, BALTIMORE, MD 21201-1591
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R207359
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R207359
LICENSE #
MD
Enumeration date
12/26/2019
Last updated
12/26/2019
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