Individual
MRS. JASMYN RENEE BERKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5524 WESLEY AVE, GWYNN OAK, MD 21207-6824
(444) 204-4549
Mailing address
5524 WESLEY AVE, GWYNN OAK, MD 21207-6824
(444) 204-4549
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R216008
MD
Other
Enumeration date
07/23/2020
Last updated
08/19/2021
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