Individual provider · Type 1 NPI
Jubeth Fontanilla
Adult Health Nurse Practitioner · Baltimore, MD
NPI number
1053808196
Active
Practice location
525 N Wolfe St
Baltimore, MD 21205-2110
Mailing address
10 Margery Ct
Nottingham, MD 21236-2626
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | R165036 (MD) |
Adult Health Nurse Practitioner: Definition to come...
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- Rosemary Anne Smith-Lamacchia, NPAdult Health Nurse Practitioner Baltimore, MD NPI 1003912767
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About NPI 1053808196
Jubeth Fontanilla's National Provider Identifier is 1053808196, issued on Apr 14, 2018. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Baltimore, MD. The record was last updated on Jul 1, 2026.