NPI 1790325546 · live from the CMS NPI Registry
Jessica Jiyoung An, CRNP
Family Medicine in Elkton, MD. National Provider Identifier 1790325546, active.
NPI record
| NPI | 1790325546 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 111 W High St Ste 314, Elkton, MD 21921 |
| Practice phone | 410-620-0545 |
| Mailing address | 106 Bow St, Elkton, MD 21921 |
| Enumerated | January 9, 2020 |
| Last updated | January 9, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | R222999 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.