Individual
JANE CORNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2001 MEDICAL PKWY, ANNAPOLIS, MD 21401-3280
(443) 481-1366
Mailing address
2001 MEDICAL PKWY, ANNAPOLIS, MD 21401-3280
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R096946
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60055702
BLUE SHIELD
MD
01
—
T2390012
GHI
DC
Enumeration date
08/17/2006
Last updated
07/08/2007
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