| Doctor Name: | JENNIFER SHRADER |
| NPI Number: | 1144570409 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | R166089 |
| Business Practice Address: | 7030 Troy Hill Dr Ste 500 Elkridge, MD - 210757059 |
| Business Phone Number: | 4438329661 |
| Business Fax Number: | 3018540020 |
| Mailing Address: | 7030 Troy Hill Dr, Ste 500 ELKRIDGE |
| State: | MD |
| Postal Code: | 210757059 |
| Phone Number: | 4438329661 |
| Fax Number: | 3018540020 |
| NPI Enumeration Date: | 09/14/2012 |
| NPI Last Update Date: | 09/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | R166089 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |