Ms. Betty Jane Kupp
Nurse Practitioner - Gerontology
Perry Point Va Medical Center Ave. D.
Perry Point
, Maryland 21902
Ms. Betty Jane Kupp
Nurse Practitioner - Gerontology
Perry Point Va Medical Center Ave. D.
Perry Point
, Maryland 21902
(410) 642-2411
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Ms. Betty Jane Kupp
- 13 Fir Dr
- Baltimore, MD
- Zip : 21220-5434
- Phone : (410) 642-2411
Second Address
- Ms. Betty Jane Kupp
- Perry Point Va Medical Center Ave. D.
- Perry Point, MD
- Zip : 21902
- Phone : (410) 642-2411
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | RO69072 | MD |
National Provider Identifier
| NPI | 1023071115 |
|---|---|
| Provider Name | Ms. Betty Jane Kupp |
| First Address | Baltimore, MD 21220-5434 |
| Second Address | Perry Point, MD 21902 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/04/2006 |
| Last Update Date | 08/07/2007 |
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.