Individual provider · Type 1 NPI
Jennifer M. Roth, CRNP
Pediatric Nurse Practitioner · Baltimore, MD
NPI number
1679977185
Active
Practice location
1800 Orleans St, Bloomberg 7308
Baltimore, MD 21287-2101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | R150450 (MD) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1679977185
Jennifer M. Roth, CRNP's National Provider Identifier is 1679977185, issued on Oct 13, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Baltimore, MD. The record was last updated on Oct 13, 2014.