- Practice location
- 10175 Little Patuxent Pkwy, Columbia, MD 21044-2655
- Phone
- 508-561-9344
- Fax
- —
- Last updated
- June 5, 2020
Jennifer L Favazza is a Nurse Practitioner based in Columbia, MD. Jennifer L Favazza practices in Columbia, MD and has the professional credentials of NP. The NPI Number for Jennifer L Favazza is 1508050469 and holds a License No. 266644 (MA). The current practice location address for Jennifer L Favazza is 10175 Little Patuxent Pkwy, Columbia, MD 21044-2655 and can be reached out via phone at 508-561-9344.
Provider Profile Details
- NPI Number
- 1508050469
- Provider Name
- Jennifer L Favazza
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 10175 Little Patuxent Pkwy, Columbia, MD 21044-2655
- Phone Number
- 508-561-9344
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 4, 2007
- Last Update Date
- June 5, 2020
- Certification Date
- June 5, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10175 Little Patuxent Pkwy
Columbia, MD 21044-2655 - City
- Columbia
- State
- Maryland
- Zip
- 21044-2655
- Phone Number
- 508-561-9344
Provider Business Mailing Address Details
- Address
- 10175 Little Patuxent Pkwy
Columbia, MD 21044-2655 - City
- Columbia
- State
- MD
- Zip
- 21044-2655
- Phone Number
- 508-561-9344
License Information
- License Number (1)
- 266644
- License State (1)
- MA
- Taxonomy (1)
- Nurse Practitioner, Adult Health · 363LA2200X
- License Number (2)
- 266644
- License State (2)
- MA
- Taxonomy (2)
- Nurse Practitioner · 363L00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioners near Columbia, MD
View all Nurse Practitioners in Columbia →- Dr. Daniel Baram, MDInternal Medicine, Critical Care Medicine · NPI 1407881345
- Mark J Baskerville, MDEmergency Medicine · NPI 1306801824
- 4 Oaks Physical Therapy, LLC.Clinic/Center, Physical Therapy · NPI 1144637570
- Active Physical Therapy Services, LLCClinic/Center, Physical Therapy · NPI 1659953305
- Bj'S Wholesale Club INC.Eyewear Supplier (Equipment, not the service) · NPI 1316553498
- Puneet Agarwal, DDSDentist, General Practice · NPI 1700290616
Frequently Asked Questions
What is the NPI number of Jennifer L Favazza, NP?
The NPI number of Jennifer L Favazza, NP is 1508050469. It was assigned on September 4, 2007 and is currently active in the NPPES registry.
What is the specialty of Jennifer L Favazza, NP?
Jennifer L Favazza, NP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number 266644.
Where does Jennifer L Favazza, NP practice?
The practice location is 10175 Little Patuxent Pkwy, Columbia, MD 21044-2655. The office can be reached at 508-561-9344 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508050469 directly on the NPPES registry website.