Provider Demographics
NPI:1063846236
Name:CORBETT, JENNIFER R
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:R
Last Name:CORBETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10123 BROCK DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20903-1619
Mailing Address - Country:US
Mailing Address - Phone:202-486-7727
Mailing Address - Fax:
Practice Address - Street 1:10123 BROCK DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20903-1619
Practice Address - Country:US
Practice Address - Phone:202-486-7727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-23
Last Update Date:2013-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula