person
Jacquelyn P Bauer, CRNP
Pediatric Nurse Practitioner in Cumberland, Maryland
NPI 1124010004

Jacquelyn P Bauer is a Pediatric Nurse Practitioner based in Cumberland, MD and is specialized in Pediatrics. Jacquelyn P Bauer practices in Cumberland, MD and has the professional credentials of CRNP. The NPI Number for Jacquelyn P Bauer is 1124010004 and holds a License No. R110105 (Maryland).

The current practice location address for Jacquelyn P Bauer is 500 Greene St, Cumberland, MD and can be reached out via phone at 301-724-7616 and via fax at 301-724-4811. You can also correspond with Jacquelyn P Bauer through the mailing address at 13210 GROWDENVALE DR NE, CUMBERLAND, MD - 21502-6844 (mailing address contact number: 301-724-7616).

Location: 500 Greene St, Cumberland, MD, 21502-6844
person
Provider Profile Details
NPI Number
1124010004
Provider Name
Jacquelyn P Bauer
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
500 Greene St, Cumberland, MD, 21502-6844
Phone Number
301-724-7616
Fax Number
301-724-4811
Provider Enumeration Date
08/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
103470021 05 PA
126751500 05 MD
0167161000 05 WV
institution
Provider Business Practice Location Address Details
Address
500 Greene St
City
State
Zip
21502-2755
Phone Number
301-724-7616
Fax Number
301-724-4811
person
Provider Business Mailing Address Details
Address
13210 Growdenvale Dr Ne
City
State
Zip
21502-6844
Phone Number
301-724-7616
Fax Number
301-724-4811
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
License No.
SP018623 (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
R110105 (Maryland)
Definition
Definition to come...
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