Individual
JENNIFER L EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
HEALTH RESOURCES AND SERVICES ADMINISTRATION, 5600 FISHERS LANE, ROCKVILLE, MD 20857-0001
(919) 357-1891
Mailing address
HEALTH RESOURCES AND SERVICES ADMINISTRATION, 5600 FISHERS LANE, ROCKVILLE, MD 20857-0001
(919) 357-1891
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D66947
MD
207P00000X
Emergency Medicine Physician
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5903900
—
NC
01
—
D66947
MD MEDICAL LICENSE
MD
Enumeration date
07/05/2006
Last updated
03/07/2023
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