Jacquetta Antoinette Charles-Morris in Baltimore - Physician Assistant

Jacquetta Antoinette Charles-Morris - NPI 1154534626

Jacquetta Antoinette Charles-Morris is a Physician Assistant in Baltimore, Maryland. Jacquetta Antoinette Charles-Morris practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jacquetta Antoinette Charles-Morris is 1154534626. The last update date is 2010-04-30.

Jacquetta Antoinette Charles-Morris's current location address is 5601 Loch Raven Blvd, Baltimore, Maryland. You can contact this provider via phone number 4105324396. The mailing address for Jacquetta Antoinette Charles-Morris is 5601 Loch Raven Blvd, Baltimore, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Jacquetta Antoinette Charles-Morris
Address 5601 Loch Raven Blvd, Baltimore, Maryland
Phone Number 4105324396
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1154534626
Provider Enumeration Date 2007-05-08
Last Updated Date 2010-04-30

Provider Mailing Address Detail

Address 5601 Loch Raven Blvd
City Baltimore
State Maryland (MD)
Post Code 21239
Phone Number 4105324396
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No C0003251
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Jacquetta Antoinette Charles-Morris

What is the unique identifier code issued to Jacquetta Antoinette Charles-Morris by the Centers for Medicare & Medicaid Services?

The Jacquetta Antoinette Charles-Morris has been assigned the NPI (National Provider Identifier) 1154534626. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Jacquetta Antoinette Charles-Morris?

The Jacquetta Antoinette Charles-Morris is situated at 5601 Loch Raven Blvd, in the city of Baltimore, state of MD, with the zip code 21239.

What is Jacquetta Antoinette Charles-Morris's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jacquetta Antoinette Charles-Morris is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1154534626 to Jacquetta Antoinette Charles-Morris?

The Centers for Medicare & Medicaid Services originally issued the 1154534626 to Jacquetta Antoinette Charles-Morris on 2007-05-08.

When was the information pertaining to Jacquetta Antoinette Charles-Morris most recently updated or revised?

The details related to Jacquetta Antoinette Charles-Morris, including its address, specialty, and other relevant information, were last updated or revised on 2010-04-30.

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