| Doctor Name: | MS. BETTY JANE KUPP |
| NPI Number: | 1023071115 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | RO69072 |
| Business Practice Address: | Perry Point Va Medical Center Ave. D. Perry Point, MD - 21902 |
| Business Phone Number: | 4106422411 |
| Business Fax Number: | |
| Mailing Address: | 13 Fir Dr, BALTIMORE |
| State: | MD |
| Postal Code: | 212205434 |
| Phone Number: | 4106422411 |
| Fax Number: | |
| NPI Enumeration Date: | 04/10/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | RO69072 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |