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NPI Code Detail

MEDICARE: JENNIFER JEAN MAYS CRNP

MEDICARE: JENNIFER JEAN MAYS CRNP
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
1363LF0000XFamily Nurse PractitionerR124625MD

General Provider Information

NPI Number : 1942209069
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER JEAN MAYS CRNP
Provider Business Mailing Address
First Line : 921 FROG MORTAR RD
Second Line :
City : MIDDLE RIVER
State : MD
Zip : 21220-4303
Country : US
Telephone Number : 410-335-9461
Fax Number :
Provider Business Practice Location Address
First Line : 9000 FRANKLIN SQUARE DR
Second Line :
City : ROSEDALE
State : MD
Zip : 21237-3901
Country : US
Telephone Number : 443-777-7236
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2005
Last Update Date : 07/08/2007

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