Individual
JILL ANNE BURGHOLZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP-PMH
Contact information
Practice address
112 SAINT CLAIRE PL STE 202, STEVENSVILLE, MD 21666-2193
(410) 200-6920
Mailing address
112 SAINT CLAIRE PL STE 202, STEVENSVILLE, MD 21666-2193
(410) 200-6920
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024176704
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1050971
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R181825
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
522156095
COMMERCIAL
MD
05
—
609550002
—
MD
01
—
LM49EA
CAREFIRST BCBS-LOCAL
MD
01
—
R968
CAREFIRST NATIONAL
MD
Enumeration date
08/31/2011
Last updated
09/03/2021
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