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Organization

JADE HEALTH & WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THERESSA WILLIAMS CRNP, FNP-BC (EXECUTIVE DIRECTOR/CEO)
(443) 744-6214
Entity
Organization

Contact information

Practice address
3301 BELAIR RD, BALTIMORE, MD 21213-1257
(410) 929-3893
Mailing address
9627 EAVES DR, OWINGS MILLS, MD 21117-5919

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1922514348
MD
Enumeration date
10/17/2019
Last updated
09/24/2020
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