Pullmann, Jennifer

Pullmann, Jennifer is an individual health care provider with primary practice located at 25 Crossroads Dr Suite 205, Owings Mills MD 21117-5421. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Pullmann, Jennifer can be contacted via phone (410) 602-7792.

Contact Information

Primary practice address
25 Crossroads Dr Suite 205 Owings Mills MD 21117-5421
Fax: (410) 602-9889
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R164705 Maryland

Profile Details

NPI number 1003814997
LBN Legal business name Pullmann, Jennifer
Credentials RN, CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Sep 16th, 2011 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003814997 NPPES
Maryland MEDICAID 405248000

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