Healthcare Provider Details

I. General information

NPI: 1588653513
Provider Name (Legal Business Name): JENNIFER C SCHERER CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2005
Last Update Date: 07/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 E UNIVERSITY PKWY # 226
BALTIMORE MD
21218-2829
US

IV. Provider business mailing address

308 LEE WAY
BEL AIR MD
21014-2018
US

V. Phone/Fax

Practice location:
  • Phone: 410-554-6559
  • Fax:
Mailing address:
  • Phone: 443-841-5652
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP2776772
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: