Individual
MS. JENNIFER O FAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
419 W REDWOOD ST, SUITE 500, BALTIMORE, MD 21201-1734
(410) 328-6640
(410) 328-2648
Mailing address
250 W. PRATT STREET, BALTIMORE, MD 21201
(667) 214-1302
(410) 328-3379
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R150136
MD
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
813301800
—
MD
Enumeration date
06/30/2006
Last updated
06/07/2017
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