Individual
MRS. JESSICA LITTLE KOVOLENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4231 N WOODS TRL, #100, HAMPSTEAD, MD 21074-3128
(410) 374-9391
Mailing address
4231 N WOODS TRL, #100, HAMPSTEAD, MD 21074-3128
(410) 374-9391
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R165634
MD
Other
Enumeration date
06/24/2015
Last updated
06/24/2015
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