Individual
JENNIFER WODAJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
292 STONER AVE, WESTMINSTER, MD 21157-5629
(443) 244-6480
(410) 871-7216
Mailing address
200 MEMORIAL AVE, WESTMINSTER, MD 21157-5726
(410) 871-6864
(410) 871-6516
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3014287
KY
363L00000X
Nurse Practitioner
Primary
R259382
MD
Other
Enumeration date
11/17/2020
Last updated
05/15/2023
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