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Individual

MISS JENNIFER CHRISTINA ASHLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
3346 PAPER MILL RD, PHOENIX, MD 21131-1419
(410) 666-4060
(410) 666-4068
Mailing address
3346 PAPER MILL RD, PHOENIX, MD 21131-1419

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R208602
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R208602
MARYLAND CRNP LICENSE
MD
Enumeration date
02/06/2023
Last updated
02/07/2023
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