Individual
MS. PICKETT KENDALL JAMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
4940 EASTERN AVE BLDG CAP, BALTIMORE, MD 21224-2735
(410) 550-3099
(410) 550-3027
Mailing address
PO BOX 64313, BALTIMORE, MD 21264-4313
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R167602
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016140300
—
MD
Enumeration date
01/29/2007
Last updated
12/05/2012
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