Individual provider · Type 1 NPI
Jessica Reddy
Student in an Organized Health Care Education/Training Program · Baltimore, MD
NPI number
1790304129
Active
Practice location
600 N Wolfe St
Baltimore, MD 21287-0005
Mailing address
733 N Broadway
Baltimore, MD 21205-1832
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry Physician | 2084P0800X | D99200 (MD) |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1790304129
Jessica Reddy's National Provider Identifier is 1790304129, issued on Apr 15, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Baltimore, MD. The record was last updated on Jun 20, 2024.