Organization
JILL PORTER CRNP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL RENEE PORTER CRNP (OWNER)
(410) 430-7247
Entity
Organization
Contact information
Practice address
1310 BELMONT AVE, SUITE 302, SALISBURY, MD 21804-4506
(410) 430-7247
(443) 458-0661
Mailing address
1310 BELMONT AVE, SUITE 302, SALISBURY, MD 21804-4506
(443) 953-1278
(443) 458-0661
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
08/30/2016
Last updated
01/10/2023
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