MS. AMEENA JAIN


Address: 1012 S North Point Rd, Baltimore, MD 21224-3338
Phone: 4432164800

MS. AMEENA JAIN (NPI# 1093064073) 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) 1093064073
Entity Type Individual
Full Name MS. AMEENA JAIN
Credential CRNP
Practice Address 1012 S North Point Rd
Baltimore
MD 21224-3338
Practice Telephone 4432164800
Mailing Telephone 4432164800
Enumeration Date 2012-09-05
Last Update Date 2017-04-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
R211311 MD Physician Assistants & Advanced Practice Nursing Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
764950 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 306307501 05

Office Location

Street Address 1012 S NORTH POINT RD
City BALTIMORE
State MD
Zip Code 21224-3338

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992710677 Helen Joan Schreiner Counselor 1012 S North Point Rd, Baltimore, MD 21224-3338 2006-07-30
1023665320 Danielle Segall Social Worker 1012 S North Point Rd, Baltimore, MD 21224-3338 2019-08-21
1295382596 Kaitlin Rene Mclaughlin Social Worker 1012 S North Point Rd, Baltimore, MD 21224-3338 2019-08-21
1710469804 Gary Coleman Counselor 1012 S North Point Rd, Baltimore, MD 21224-3338 2018-09-05
1043669328 Anna Elizabeth Stevens Social Worker 1012 S North Point Rd, Baltimore, MD 21224-3338 2016-06-08
1184097958 Rebecca Levenson-smith Counselor 1012 S North Point Rd, Baltimore, MD 21224-3338 2015-11-03
1992054993 Krissa Michelle Jackson Counselor 1012 S North Point Rd, Baltimore, MD 21224-3338 2012-09-05
1902155377 Garrett Weldon Lee Physician Assistant 1012 S North Point Rd, Baltimore, MD 21224-3338 2012-08-31
1174872642 Jennifer Costa Mcmillan Counselor 1012 S North Point Rd, Baltimore, MD 21224-3338 2012-08-30
1821366576 John Paul Magee Social Worker 1012 S North Point Rd, Baltimore, MD 21224-3338 2011-12-08
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Providers in the same zip code

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1437613163 Johns Hopkins University Internal Medicine 5210 Eastern Avenue, Alpha Center, Baltimore, MD 21224 2019-01-28
1669993606 Maria Giannas Pharmacist 6510 O'donnell St, Baltimore, MD 21224 2017-06-29
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City BALTIMORE
Zip Code 21224

Improve Information

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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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