| Doctor Name: | CARRIE A. JONECKIS |
| NPI Number: | 1013033513 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | C0002554 |
| Business Practice Address: | 2002 Medical Pkwy Sajak Building, Suite 230 Annapolis, MD - 214013046 |
| Business Phone Number: | 4102663900 |
| Business Fax Number: | 4102669245 |
| Mailing Address: | 5 Belhaven Ct, SEVERNA PARK |
| State: | MD |
| Postal Code: | 211462701 |
| Phone Number: | 4103158247 |
| Fax Number: | 6157789114 |
| NPI Enumeration Date: | 03/22/2007 |
| NPI Last Update Date: | 09/24/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | C0002554 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |