Individual
JANE IJEAKU EZEKWESILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2925 LORD BALTIMORE DR STE 200, BALTIMORE, MD 21244-2659
(410) 298-3431
Mailing address
2925 LORD BALTIMORE DR STE 200, BALTIMORE, MD 21244-2659
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R174356
MD
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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