Individual
MISS ASHLEY JENE' E THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
8500 ALLENSWOOD RD, RANDALLSTOWN, MD 21133-4604
(443) 796-8515
Mailing address
8500 ALLENSWOOD RD, RANDALLSTOWN, MD 21133-4604
(443) 796-8515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R217978
MD
363LF0000X
Family Nurse Practitioner
Primary
R217978
MD
Other
Enumeration date
12/07/2020
Last updated
12/21/2020
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