Individual
MISS JENNIFER LYNN NERF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, RD, MSHS
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-5780
(410) 328-8315
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-8040
(443) 462-3514
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0004901
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1107436
NCCPA
—
01
—
812564
CDR
—
01
—
C0004901
STATE OF MARYLAND OF LICENSE
MD
Enumeration date
12/03/2012
Last updated
07/21/2022
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