Individual
MISS JATORIA JYNAI FAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1201 W MOUNT ROYAL AVE UNIT 418, BALTIMORE, MD 21217-4588
(870) 514-3080
Mailing address
1201 W MOUNT ROYAL AVE UNIT 418, BALTIMORE, MD 21217-4588
(870) 514-3080
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R248439
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R248439
MD
Other
Enumeration date
01/05/2023
Last updated
03/22/2024
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