Individual
DR. JESSICA M MAIZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1634 SULPHUR SPRING RD, HALETHORPE, MD 21227-2539
(410) 242-0920
Mailing address
1634 SULPHUR SPRING RD, HALETHORPE, MD 21227-2539
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R201109
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891357638
—
MD
Enumeration date
07/02/2019
Last updated
06/16/2022
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