Individual
CHRISTINE B. BASSETT-JELLEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
345 ST. PAUL PLACE, DEPARTMENT OF PEDIATRICS, BALTIMORE, MD 21202
(410) 332-9594
Mailing address
301 ST. PAUL PLACE, MEDICAL STAFF OFFICE, BALTIMORE, MD 21202
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R089354
MD
Other
Enumeration date
09/19/2012
Last updated
07/12/2019
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