Jie Kong CNP MSN

NPI 1215040951 - Registered Nurse - 163WI0600X

NPI Details
NPI 1215040951
Gender Female
Enumeration Date 08/16/2006
Last Updated 09/06/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
10710 CHARTER DR
STE 310
COLUMBIA MD, 21044-3128, US
Phone (410) 997-1336
Fax (410) 997-1636
Business Location
9784 OLD ANNAPOLIS RD
ELLICOTT CITY MD, 21042-6327, US
Phone (410) 997-1336
Fax (410) 997-1636
Toxanomy
Taxonomy Code 163WI0600X
License State Maryland
License Number R143501
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According to our database, Jie Kong CNP MSN NPI is 1215040951, taxonomy code is 163WI0600X and license number is R143501, license state is located at Maryland. Jie Kong CNP MSN physically located at 10710 Charter Dr, Columbia MD, 21044-3128. NPI Number Jie Kong CNP MSN has the Individual type.

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1215040951 NPI number is provided on an as is basis without warranty of any kind. 1215040951 is maintained by the National Plan & Provider Enumeration System. The contents of Jie Kong CNP MSN are for informational purposes only.