JUBETH FONTANILLA


Address: 525 N Wolfe St, Baltimore, MD 21205-2110
Phone: 4109557548

JUBETH FONTANILLA (NPI# 1053808196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053808196
Entity Type Individual
Full Name JUBETH FONTANILLA
Practice Address 525 N Wolfe St
Baltimore
MD 21205-2110
Mailing Address 10 Margery Ct
Nottingham
MD 21236-2626
Practice Telephone 4109557548
Enumeration Date 2018-04-14
Last Update Date 2018-04-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
R165036 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 525 N WOLFE ST
City BALTIMORE
State MD
Zip Code 21205-2110

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326098146 Nicole Warren Advanced Practice Midwife 525 N Wolfe St, Room 448, Baltimore, MD 21205-2110 2006-05-11
1336775121 Michelle Patch Clinical Nurse Specialist 525 N Wolfe St, Baltimore, MD 21205-2110 2020-03-12
1740753599 Mbanwi Cidoline Angwi Nurse's Aide 525 N Wolfe St, Baltimore, MD 21205-2110 2019-01-04
1518456474 Mi Kyeong Jung Student in an Organized Health Care Education/Training Program 525 N Wolfe St, Baltimore, MD 21205-2110 2018-05-07
1386808780 Elizabeth Sloand Nurse Practitioner 525 N Wolfe St, Baltimore, MD 21205-2110 2008-07-15
1326199142 Julie Ann Stanik - Hutt Nurse Practitioner 525 N Wolfe St, Baltimore, MD 21205-2110 2007-01-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1871158592 Rachel Samantha Bronheim Student in an Organized Health Care Education/Training Program 610 N Caroline St, 5th Floor, Baltimore, MD 21205 2019-05-08
1700342250 Ruth Leeanna Williams Social Worker 504 N. Caroline Street, Baltimore, MD 21205 2019-02-20
1174017032 Anna Kathryn Chassevent Genetic Counselor, MS 801 N. Broadway, Baltimore, MD 21205 2018-06-14
1588115653 Redeem Healthcare and Medical System Inc Case Management 917 North Caroline Street, Baltimore, MD 21205 2016-10-24
1013334929 Crystal Diane Salcido Psychiatry & Neurology 855 N Wolfe St Ste 300, Baltimore, MD 21205 2014-03-28
1487088464 Laura Mitchell Nurse Practitioner 707 N. Broadway Ave, Baltimore, MD 21205 2013-08-27
1477992410 Ferbet Take Care Health Maryland, P.C. Nurse Practitioner 900 N. Washington Street, Baltimore, MD 21205 2013-06-24
1225370570 Amena Smith Fine Pediatrics Kennedy Krieger Institute, 707 N Broadway, Baltimore, MD 21205 2013-03-25
1356695993 Kalpana Prasad Student in an Organized Health Care Education/Training Program 800 North Wolfe St., John G. Rangos, Sr. Building, Room 248, 2nd Floor, Baltimore, MD 21205 2012-11-05
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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1821646092 Aaron Murfin Nurse Practitioner 1055 W Market St Ste H, Baltimore, OH 43105-1284 2019-08-29
1669024543 Alpa Uchil Nurse Practitioner 601 N Caroline St Ste 5061, Baltimore, MD 21287-0006 2019-07-11
1982169918 Stephanie Ann Wagner Nurse Practitioner 5601 Loch Raven Blvd Bldg Suite502, Baltimore, MD 21239-2945 2019-02-04
1386118289 Dia Lynae Johnson Nurse Practitioner 4101 Glenhunt Rd, Baltimore, MD 21229-1705 2019-01-14
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1144719634 Kathryn Ellen Menzel Nurse Practitioner 601 N Caroline St Fl 7, Baltimore, MD 21287-0006 2018-05-09
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Competitor

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City BALTIMORE
Zip Code 21205

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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