Individual
JENNIFER L. CHAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4821 BUTLER RD # 3C, GLYNDON, MD 21136-5686
(443) 801-5914
Mailing address
4617 PINEY GROVE ROAD, REISTERSTOWN, MD 21136
(443) 801-5914
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R189332
MD
Other
Enumeration date
08/02/2014
Last updated
07/21/2022
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