Individual provider · Type 1 NPI

Jenna Michong Song, RN

Case Management Registered Nurse · Baltimore, MD

NPI number 1265735641 Active

Practice location

7141 Security Blvd
Baltimore, MD 21244-1811

Fax (443) 663-6131

Mailing address

8111 Brookwood Farm Rd
Fulton, MD 20759-9658

Specialties and licenses

TaxonomyCodeLicense
Case Management Registered Nurse Primary 163WC0400XR100864 (MD)

Case Management Registered Nurse: Definition to come...

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About NPI 1265735641

Jenna Michong Song, RN's National Provider Identifier is 1265735641, issued on Dec 7, 2010. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Baltimore, MD. The record was last updated on Dec 7, 2010.