Individual
MRS. MICHELE COLUMBUS-JANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
7801 YORK RD STE 102, TOWSON, MD 21204
(410) 769-4920
Mailing address
7801 YORK RD STE 102, TOWSON, MD 21204-7463
(410) 769-4920
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
689181
NY
363LF0000X
Family Nurse Practitioner
Primary
340144
NY
Other
Enumeration date
11/09/2015
Last updated
07/03/2019
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