Healthcare Provider Details

I. General information

NPI: 1053099358
Provider Name (Legal Business Name): JENNIFER HELZER APRN-CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2023
Last Update Date: 07/06/2023
Certification Date: 07/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 S GREENE ST
BALTIMORE MD
21201-1590
US

IV. Provider business mailing address

9312 PARAGON WAY
OWINGS MILLS MD
21117-1389
US

V. Phone/Fax

Practice location:
  • Phone: 410-350-7234
  • Fax:
Mailing address:
  • Phone: 410-350-4734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License NumberCS00069
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: