Individual
MRS. JENNIFER RAE CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5900 WATERLOO RD STE 200, COLUMBIA, MD 21045-2641
(410) 321-8452
Mailing address
7580 BUCKINGHAM BLVD STE 220, HANOVER, MD 21076-3210
(410) 729-5100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R149311
MD
Other
Enumeration date
10/02/2020
Last updated
11/22/2021
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