Individual
MRS. JENNIFER BAKER MCNAMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1701 N GEORGE MASON DR, ARLINGTON, VA 22205-3610
(703) 558-6122
Mailing address
PO BOX 17334, BALTIMORE, MD 21297-1334
(703) 443-6717
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00110004414
VA
363A00000X
Physician Assistant
PA 19542
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
THP70010F
—
TX
Enumeration date
01/18/2008
Last updated
10/03/2019
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