Shannon Fox Jensen in Baltimore - Family

Shannon Fox Jensen - NPI 1487854238

Shannon Fox Jensen is a Family in Baltimore, Maryland. Shannon Fox Jensen practices all healthcare services and medical treatments related to Family. The NPI Number for Shannon Fox Jensen is 1487854238. The last update date is 2007-07-20.

Shannon Fox Jensen's current location address is 2401 W Belvedere Ave, Baltimore, Maryland. You can contact this provider via phone number 4106015737 and fax number 4106019468. The mailing address for Shannon Fox Jensen is 2401 W Belvedere Ave, Baltimore, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Shannon Fox Jensen
Address 2401 W Belvedere Ave, Baltimore, Maryland
Phone Number 4106015737
Fax Number 4106019468
Sole Proprietor N
Credentials CRNP - F

NPI Number Detail

NPI Number 1487854238
Provider Enumeration Date 2007-07-20
Last Updated Date 2007-07-20

Provider Mailing Address Detail

Address 2401 W Belvedere Ave
City Baltimore
State Maryland (MD)
Post Code 212155216
Phone Number 4106015737
Fax Number 4106019468

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No F0607020
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
1831 MD RTI ID #

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FAQs about Shannon Fox Jensen

What is the unique 10-digit identification code assigned to Shannon Fox Jensen by the Centers for Medicare & Medicaid Services?

The Shannon Fox Jensen has been issued the NPI (National Provider Identifier) 1487854238, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Shannon Fox Jensen is located?

The Shannon Fox Jensen is situated at the following address: 2401 W Belvedere Ave, Baltimore, MD, 212155216.

What is Shannon Fox Jensen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Shannon Fox Jensen is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.

On what date was the 1487854238 assigned to Shannon Fox Jensen?

The Shannon Fox Jensen was issued its 1487854238 on 2007-07-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Shannon Fox Jensen most recently updated or revised?

The information pertaining to Shannon Fox Jensen, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-20.

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