Shields, Jennifer Evelyn

Shields, Jennifer Evelyn is an individual health care provider with primary practice located at 22 S Greene St , Baltimore MD 21201-1544. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine. Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine is her primary health care specialty. Shields, Jennifer Evelyn can be contacted via phone (410) 328-6662.

Contact Information

Primary practice address
22 S Greene St Baltimore MD 21201-1544
Phone: (410) 328-6662
Fax: (410) 328-6046
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X D0091009 Maryland

Profile Details

NPI number 1114459435
LBN Legal business name Shields, Jennifer Evelyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2017
Last updated Jul 14th, 2021 - about 5 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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