Individual
JASMINE MARIA KRETZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201
(410) 328-8667
Mailing address
22 S GREENE ST, BALTIMORE, MD 21201-1590
(419) 328-9595
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F07180353
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R201248
N/A
MD
Enumeration date
07/12/2018
Last updated
08/18/2018
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