Individual
JENNIFER J AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
21 W 25TH ST, BALTIMORE, MD 21218-5003
(410) 366-1717
Mailing address
2414 BAUERNSCHMIDT DR, ESSEX, MD 21221-1714
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP29602
MD
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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