Individual provider · Type 1 NPI
Jennifer Difatta, CRNP
Adult Health Nurse Practitioner · Bel Air, MD
NPI number
1083539563
Active
Practice location
104 Plumtree Rd Ste 102
Bel Air, MD 21015-6095
Fax (410) 569-4368
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | R172197 (MD) |
Adult Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1083539563
Jennifer Difatta, CRNP's National Provider Identifier is 1083539563, issued on Aug 12, 2026. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Bel Air, MD. The record was last updated on Sep 30, 2026.