Individual
BETHANY LEIGH JILLSON-THORNHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-9503
Mailing address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-9503
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R215801
MD
Other
Enumeration date
12/04/2015
Last updated
12/04/2015
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