Individual provider · Type 1 NPI

Jennifer Lynn Knode, PAC

Medical Physician Assistant · Waldorf, MD

NPI number 1245237684 Active

Practice location

12070 Old Line Ctr, Ste 207
Waldorf, MD 20602-2567

Fax (301) 932-8310

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XC0001763 (MD)

Medical Physician Assistant: Definition to come...

35 other providers at this address

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About NPI 1245237684

Jennifer Lynn Knode, PAC's National Provider Identifier is 1245237684, issued on Jun 30, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Waldorf, MD. The record was last updated on Oct 24, 2012.