Individual
JANE F EXNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-4408
(410) 328-1112
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-4408
(410) 328-1112
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R142270
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
418037200
—
MD
01
—
954068-01 & 02
BLUE CROSS/BLUE SHIELD
MD
01
—
S062-0365
BLUE CROSS/BLUE SHIELD REGIONAL
MD
Enumeration date
05/23/2007
Last updated
11/10/2009
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