Individual provider · Type 1 NPI

Jennifer L. Favazza, NP

Nurse Practitioner · Columbia, MD

NPI number 1508050469 Active

Practice location

10175 Little Patuxent Pkwy
Columbia, MD 21044-2655

Call (508) 561-9344 Map

Other practice locations

1 Monarch Pl Fl 10, Springfield, MA 01144-1099 · (413) 734-2000

Specialties and licenses

Taxonomy	Code	License
Adult Health Nurse Practitioner	363LA2200X	266644 (MA)
Nurse Practitioner Primary	363L00000X	266644 (MA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1508050469

Jennifer L. Favazza, NP's National Provider Identifier is 1508050469, issued on Sep 4, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Columbia, MD. The record was last updated on Jun 5, 2020.