Individual
MRS. JILL ANN DANIELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
401 N BROADWAY ST, BALTIMORE, MD 21287-0019
(410) 502-6610
Mailing address
118 CROYDON RD, BALTIMORE, MD 21212-3301
(347) 628-2564
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R167839
MD
363LA2100X
Acute Care Nurse Practitioner
Primary
R167839
MD
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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