Individual
JENNIFER SUE SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
9715 MEDICAL CENTER DR, #501, ROCKVILLE, MD 20850-3320
(301) 738-0300
(301) 738-1316
Mailing address
9715 MEDICAL CENTER DR, #501, ROCKVILLE, MD 20850-3320
(301) 738-0300
(301) 738-1316
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R178162
MD
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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