Charles-Morris, Jacquetta Antoinette

Charles-Morris, Jacquetta Antoinette is an individual health care provider with primary practice located at 5601 Loch Raven Blvd , Baltimore MD 21239. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Charles-Morris, Jacquetta Antoinette can be contacted via phone (410) 532-4396.

Contact Information

Primary practice address
5601 Loch Raven Blvd Baltimore MD 21239
Phone: (410) 532-4396
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C0003251 Maryland

Profile Details

NPI number 1154534626
LBN Legal business name Charles-Morris, Jacquetta Antoinette
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Apr 30th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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