Individual
JANE JORGENSEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 FONT HILL AVE, HEALTH SUITE, BALTIMORE, MD 21223-2703
(410) 396-0046
(410) 545-6272
Mailing address
700 7TH ST SW, APT 814, WASHINGTON, DC 20024-2442
(202) 863-1140
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R136408
MD
Other
Enumeration date
02/26/2006
Last updated
07/08/2007
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