Doctor Name: | MRS. JENNIFER LYNN DELONG |
NPI Number: | 1447627443 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | WHNP-BC, CNM |
License Number: | R165372 |
Business Practice Address: | 8430 Stevens Rd Owings, MD - 207369162 |
Business Phone Number: | 4102572341 |
Business Fax Number: | |
Mailing Address: | 8430 Stevens Rd, OWINGS |
State: | MD |
Postal Code: | 207369162 |
Phone Number: | 4102572341 |
Fax Number: | |
NPI Enumeration Date: | 08/25/2015 |
NPI Last Update Date: | 08/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | R165372 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |