Individual
JAMIE MARIE DEL PUPPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
2540 CENTREVILLE RD, CENTREVILLE, MD 21617-2681
(410) 758-4432
Mailing address
124 PROSPECT BAY DR W, GRASONVILLE, MD 21638-1185
(410) 294-8679
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
R185776
MD
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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