Individual
JIE KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP MSN
Contact information
Practice address
10802 HICKORY RIDGE RD, COLUMBIA, MD 21044-3622
(410) 997-1336
(410) 997-1636
Mailing address
10802 HICKORY RIDGE RD, COLUMBIA, MD 21044-3622
(410) 997-1336
(410) 997-1636
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R143501
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038278500
—
DC
01
—
1013404
COVENTRY
MD
01
—
1013404
FIRST HEALTH
VA
05
—
1215040951
—
MD
01
—
293176
KAISER
MD
05
—
411436100
—
MD
01
—
5707
ELDERHEALTH
MD
01
—
783571
NATIONAL CAPITAL PPO
MD
01
—
90192801
BLUE CROSS OF MARYLAND
MD
01
—
N1510003
BLUE CROSS FEDERAL
MD
Enumeration date
08/16/2006
Last updated
01/26/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us