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NPI Code Detail

MEDICARE: DR. JAYNE AMBRIELLE ATKINSON PHARMD

MEDICARE: DR. JAYNE AMBRIELLE ATKINSON PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist29342MD

General Provider Information

NPI Number : 1134972599
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAYNE AMBRIELLE ATKINSON PHARMD
Provider Business Mailing Address
First Line : 6350 FREDERICK RD
Second Line :
City : CATONSVILLE
State : MD
Zip : 21228-2375
Country : US
Telephone Number : 410-744-5959
Fax Number : 410-744-4810
Provider Business Practice Location Address
First Line : 6350 FREDERICK RD
Second Line :
City : CATONSVILLE
State : MD
Zip : 21228-2375
Country : US
Telephone Number : 410-744-5959
Fax Number : 410-744-4180
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2024
Last Update Date : 04/08/2024

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