JENIFER ABBOTT


Address: 930 Revolution St, Havre De Grace, MD 21078
Phone: 4109390961

JENIFER ABBOTT (NPI# 1225136161) 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) 1225136161
Entity Type Individual
Full Name JENIFER ABBOTT
Credential P.A.-C
Practice Address 930 Revolution St
Havre De Grace
MD 21078
Mailing Address 930 Revolution St
Havre De Grace
MD 21078-3718
Practice Telephone 4109390961
Practice Fax Number 4109397832
Mailing Telephone 4109390961
Mailing Fax Number 4109397832
Enumeration Date 2006-09-21
Last Update Date 2018-10-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
C03395 MD Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1115 S Main St, Bel Air, MD 210145460 4108797404 4108790283
615 W Macphail Rd, Bel Air, MD 210144309 4109390961 4437874389

Other Providers JENIFER ABBOTT

NPI Name Taxonomy Address Enumeration
1336431279 Jenifer V Abbott Licensed Practical Nurse 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 2011-05-11

Office Location

Street Address 930 REVOLUTION ST
City HAVRE DE GRACE
State MD
Zip Code 21078

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295198646 Stephanie Clements Dermatology 930 Revolution St, Havre De Grace, MD 21078-3718 2016-04-03
1972947059 Christina Elena Clarke Dermatology 930 Revolution St, Havre De Grace, MD 21078-3718 2013-04-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265076327 Shannon Mona Lane Social Worker [email protected], 609 Peace Chance Dr., Havre De Grace, MD 21078 2019-11-01
1134699788 Amanda Graziano Speech-Language Pathologist 201 Oakington Rd, Havre De Grace, MD 21078 2018-11-27
1689111551 Barbara Rene-darbouze Counselor 400 Lewis Street, Havre De Grace, MD 21078 2017-01-30
1598136459 Proud and Positive Treatment Services Inc. Clinic/Center 602 Revolution St., Suite 103, Havre De Grace, MD 21078 2015-10-16
1427426337 Leodegario Ayson Najera Sr. Surgery 121 Flying Ebony Place, Havre De Grace, MD 21078 2015-09-09
1669857538 Connie Dausch Counselor 100 St John Street, Suite 1, Havre De Grace, MD 21078 2015-07-21
1659777225 Doris Stacy Fair Counselor 501 South Union Ave., Harford Memorial Hospital, Havre De Grace, MD 21078 2014-11-10
1871995860 Faith Ku Pharmacist 1000 Pulaski Highway, Havre De Grace, MD 21078 2014-09-22
1376889121 Lorien Life Center Harford II, Inc. Skilled Nursing Facility 1501 Blenheim Farm Lane, Havre De Grace, MD 21078 2012-12-26
1396000790 Pdom Havre De Grace Dentist 2021 Pulaski Highway Units A and B, Havre De Grace, MD 21078 2012-07-11
Find all providers in zip 21078

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285656249 Jodie Elizabeth Vogtman Physician Assistant 253 Lewis Lane Ste 302, Havre De Grace, MD 21014-2221 2006-07-25
1487910022 Kyle C Schott Physician Assistant 2027 Pulaski Highway, #205, Havre De Grace, MD 21078-2147 2012-04-09
1982883088 Anne L Hinton Physician Assistant 421 S Union Ave Ste 201, Havre De Grace, MD 21078-3346 2007-10-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1205475803 Kendy Karenys Lopez Physician Assistant 18324 Streamside Dr Apt 204, Gaithersburg, MD 20879-5228 2019-12-30
1528619640 Cindy Pham Physician Assistant 7515 Oyster Bay Way, Gaithersburg, MD 20886-5905 2019-09-20
1508336637 Victor Orlando Hernandez Physician Assistant 125 Potomac Psge Unit 200, Oxon Hill, MD 20745-1580 2018-12-02
1164905824 Surgical Focus LLC Physician Assistant 5550 Friendship Blvd Ste 100, Chevy Chase, MD 20815-7294 2018-09-10
1912497173 Gem Y Walker Lawson Physician Assistant 6500 Rock Spring Dr Ste 100, Bethesda, MD 20817-1182 2018-05-14
1306341540 Sunil Harris Physician Assistant 22 S. Green St, University of Maryland Medical Center, Baltimore, MD 21201-1595 2018-03-29
1134639263 Liz Ramirez Physician Assistant 1101 E 33rd St, Baltimore, MD 21218-3637 2017-10-03
1093231755 Daniel Gentry Physician Assistant 301 Saint Paul St Ste Pob 802, Baltimore, MD 21202-2102 2017-08-15
1467981431 Lana E Grubb Physician Assistant 12502 Willowbrook Rd Ste 470, Cumberland, MD 21502-6593 2017-06-05
1174051353 Nam Anh Pham Physician Assistant 227 Saint Paul St Fl 6, Baltimore, MD 21202-2001 2017-05-31
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Competitor

Search similar providers

City HAVRE DE GRACE
Zip Code 21078

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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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