Individual
JENNIFER MARGARET LAIDLEY-KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2963 SIWANOY DR, EDGEWOOD, MD 21040-3436
(410) 917-2792
Mailing address
2963 SIWANOY DR, EDGEWOOD, MD 21040-3436
(410) 917-2792
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R143784
MD
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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