Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | R072335 | MD |
NPI | 1033200209 |
---|---|
Provider Name | Mrs. Gail Brohawn Jones |
First Address | Annapolis, MD 21403-5406 |
Second Address | Annapolis, MD 21401-7031 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 20/08/2012 |