Individual
JENNIFER S HUSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-6110
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-6110
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
D76852
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087633000
—
MD
01
—
S062-0547
CAREFIRST BC/BS
MD
Enumeration date
05/22/2009
Last updated
04/21/2015
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