Doctor Name: | JENNIFER LYNN MERTENS |
NPI Number: | 1003838228 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NNP |
License Number: | R115524 |
Business Practice Address: | 1500 Forest Glen Rd Silver Spring, MD - 209101483 |
Business Phone Number: | 3017544749 |
Business Fax Number: | |
Mailing Address: | Po Box 2130, GERMANTOWN |
State: | MD |
Postal Code: | 208752130 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/24/2006 |
NPI Last Update Date: | 07/16/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WN0002X |
License Number: | R115524 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Neonatal Intensive Care |
Taxonomy Definition: |