Individual
JEAN STAPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
119 S HAYS ST, BEL AIR, MD 21014-3644
(410) 638-8484
Mailing address
97 WINCHESTER CT, PORT DEPOSIT, MD 21904-1558
(410) 378-4306
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
R039586
MD
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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