Individual
JENNI L DORSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
610 NINTH AVENUE, BRUNSWICK, MD 21716
(301) 834-7188
(301) 834-7889
Mailing address
610 SOLAREX COURT, FREDERICK, MD 21703
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0003488
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
926580501
—
MD
05
—
926580502
—
MD
05
—
926580505
—
MD
Enumeration date
03/09/2007
Last updated
08/02/2016
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