Dr. Jerilyn Kay Glass
Neurosurgeon
18510 Black Kettle Dr
Boyds
, Maryland 20841-4310
Dr. Jerilyn Kay Glass
Neurosurgeon
18510 Black Kettle Dr
Boyds
, Maryland 20841-4310
(301) 515-1091
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Dr. Jerilyn Kay Glass
- 18510 Black Kettle Dr
- Boyds, MD
- Zip : 20841-4310
- Phone : (301) 515-1091
Second Address
- Dr. Jerilyn Kay Glass
- 18510 Black Kettle Dr
- Boyds, MD
- Zip : 20841-4310
- Phone : (301) 515-1091
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207T00000X | Neurosurgeon | D0042957 | MD |
National Provider Identifier
| NPI | 1104160787 |
|---|---|
| Provider Name | Dr. Jerilyn Kay Glass |
| First Address | Boyds, MD 20841-4310 |
| Second Address | Boyds, MD 20841-4310 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/11/2012 |
| Last Update Date | 20/11/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.