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NPI Code Detail

MEDICARE: JENNIFER LAUREN ENGLISH PA-C

MEDICARE: JENNIFER LAUREN ENGLISH PA-C
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
1363A00000XPhysician AssistantC0006148MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11108752OTHERNCCPA CERTIFICATION
2C0006148OTHERMDMARYLAND BOARD OF PHYSICIANS

General Provider Information

NPI Number : 1346657418
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER LAUREN ENGLISH PA-C
Provider Business Mailing Address
First Line : 8901 WISCONSIN AVE BLDG 192ND
Second Line :
City : BETHESDA
State : MD
Zip : 20889-0004
Country : US
Telephone Number : 205-914-6210
Fax Number :
Provider Business Practice Location Address
First Line : 8901 WISCONSIN AVE BLDG 192ND
Second Line :
City : BETHESDA
State : MD
Zip : 20889-0004
Country : US
Telephone Number : 301-295-4290
Fax Number : 301-319-8701
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2014
Last Update Date : 03/26/2026

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