Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | R037879 | MD |
N | 363LN0000X | Nurse Practitioner - Neonatal | R037879 | MD |
N | 363LP1700X | Nurse Practitioner - Perinatal | R037879 | MD |
NPI | 1023121753 |
---|---|
Provider Name | Jean Wheeler |
First Address | Baltimore, MD 21264-2026 |
Second Address | Baltimore, MD 21202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2006 |
Last Update Date | 10/06/2010 |