Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | D0074161 | MD |
N | 2084N0402X | Child Neurologist | MD038963 | DC |
NPI | 1033376876 |
---|---|
Provider Name | Dr. Jessica Nance |
First Address | Baltimore, MD 21220-2004 |
Second Address | Baltimore, MD 21287-0005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2008 |
Last Update Date | 17/12/2021 |