Darmody, Jacqueline K

Darmody, Jacqueline K is an individual health care provider with primary practice located at 600 N Wolfe St , Baltimore MD 21287-0005. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Darmody, Jacqueline K can be contacted via phone (410) 955-9434.

Contact Information

Primary practice address
600 N Wolfe St Baltimore MD 21287-0005
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R063028 Maryland

Profile Details

NPI number 1174568760
LBN Legal business name Darmody, Jacqueline K
Credentials C.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Dec 2nd, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174568760 NPPES
Maryland MEDICAID 402250500

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