Jennifer Elizabeth Siddle in Middle River - Family

Jennifer Elizabeth Siddle - NPI 1164633293

Jennifer Elizabeth Siddle is a Family in Middle River, Maryland. Jennifer Elizabeth Siddle practices all healthcare services and medical treatments related to Family. The NPI Number for Jennifer Elizabeth Siddle is 1164633293. The last update date is 2023-08-09.

Jennifer Elizabeth Siddle's current location address is 6201 Greenleigh Ave, Middle River, Maryland. You can contact this provider via phone number 4109332704. The mailing address for Jennifer Elizabeth Siddle is 6201 Greenleigh Ave, Middle River, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer Elizabeth Siddle
Address 6201 Greenleigh Ave, Middle River, Maryland
Phone Number 4109332704
Fax Number
Sole Proprietor N
Credentials FNP-C

NPI Number Detail

NPI Number 1164633293
Provider Enumeration Date 2007-05-24
Last Updated Date 2023-08-09

Provider Mailing Address Detail

Address 6201 Greenleigh Ave
City Middle River
State Maryland (MD)
Post Code 212202004
Phone Number 4109332704
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No R231096
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
342540717 GA --
R231096 MD STATE LICENSE

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FAQs about Jennifer Elizabeth Siddle

What is the unique 10-digit identifier code issued to Jennifer Elizabeth Siddle by the Centers for Medicare & Medicaid Services?

The Jennifer Elizabeth Siddle has been assigned the NPI (National Provider Identifier) 1164633293 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Jennifer Elizabeth Siddle's facilities are geographically located?

The facilities of Jennifer Elizabeth Siddle are physically situated at the following location: 6201 Greenleigh Ave, Middle River, MD, 212202004.

What is Jennifer Elizabeth Siddle's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jennifer Elizabeth Siddle's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.

On what date did Jennifer Elizabeth Siddle receive its 1164633293 assignment from the Centers for Medicare & Medicaid Services?

The Jennifer Elizabeth Siddle was assigned its 1164633293 on 2007-05-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Jennifer Elizabeth Siddle most recently updated?

The details pertaining to the Jennifer Elizabeth Siddle, including its address, specialty, and other relevant information, were last refreshed on 2023-08-09.

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