person
Jie Kong, CRNPMSN
Family Nurse Practitioner in Columbia, Maryland
NPI 1215040951

Jie Kong is a Family Nurse Practitioner based in Columbia, MD and is specialized in Family. Jie Kong practices in Columbia, MD and has the professional credentials of CRNPMSN. The NPI Number for Jie Kong is 1215040951 and holds a License No. R143501 (Maryland).

The current practice location address for Jie Kong is 10802 Hickory Ridge Rd, Columbia, MD and can be reached out via phone at 410-997-1336 and via fax at 410-997-1636.

Location: 10802 Hickory Ridge Rd, Columbia, MD, 21044-3622
person
Provider Profile Details
NPI Number
1215040951
Provider Name
Jie Kong
Credential
CRNPMSN
Provider Entity Type
Individual
Gender
Female
Address
10802 Hickory Ridge Rd, Columbia, MD, 21044-3622
Phone Number
410-997-1336
Fax Number
410-997-1636
Provider Enumeration Date
08/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5707 01 MD ELDERHEALTH
038278500 05 DC
783571 01 MD NATIONAL CAPITAL PPO
90192801 01 MD BLUE CROSS OF MARYLAND
293176 01 MD KAISER
1013404 01 MD COVENTRY
1215040951 05 MD
N1510003 01 MD BLUE CROSS FEDERAL
1013404 01 VA FIRST HEALTH
411436100 05 MD
institution
Provider Business Practice Location Address Details
Address
10802 Hickory Ridge Rd
City
State
Zip
21044-3622
Phone Number
410-997-1336
Fax Number
410-997-1636
person
Provider Business Mailing Address Details
Address
10802 Hickory Ridge Rd
City
State
Zip
21044-3622
Phone Number
410-997-1336
Fax Number
410-997-1636
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R143501 (Maryland)
Definition
Definition to come...
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