Individual
JESSICA BALONIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5457 TWIN KNOLLS RD, COLUMBIA, MD 21045-3259
(888) 523-6000
Mailing address
2101 GREY FOX CT, GAMBRILLS, MD 21054-1727
(443) 760-6898
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R214072
MD
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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