Fahey, Jennifer O

Fahey, Jennifer O is an individual health care provider with primary practice located at 419 W Redwood St Suite 500, Baltimore MD 21201-1734. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Fahey, Jennifer O can be contacted via phone (410) 328-6640.

Contact Information

Primary practice address
419 W Redwood St Suite 500 Baltimore MD 21201-1734
Phone: (410) 328-6640
Fax: (410) 328-2648
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X R150136 Maryland

Profile Details

NPI number 1538197017
LBN Legal business name Fahey, Jennifer O
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jun 7th, 2017 - about 9 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 1538197017 NPPES
Maryland MEDICAID 813301800

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