Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | K4241 | TX |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | D80623 | MD |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | K4241 | TX |
NPI | 1568429926 |
---|---|
Provider Name | Jeanne S Sheffield |
First Address | Baltimore, MD 21264-4313 |
Second Address | Baltimore, MD 21287-0005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2006 |
Last Update Date | 25/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
103497900 | (05) | MD |
119174402 | (05) | TX |
119174403 | (05) | TX |
G74466 | (02) |