Provider Demographics
NPI:1225212079
Name:KRUSHINSKI, JENNIFER L (MSCRNP)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:L
Last Name:KRUSHINSKI
Suffix:
Gender:F
Credentials:MSCRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:716 MAIDEN CHOICE LN
Mailing Address - Street 2:SUITE 305
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-5943
Mailing Address - Country:US
Mailing Address - Phone:410-747-9422
Mailing Address - Fax:410-747-4871
Practice Address - Street 1:716 MAIDEN CHOICE LN
Practice Address - Street 2:SUITE 305
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-5943
Practice Address - Country:US
Practice Address - Phone:410-747-9422
Practice Address - Fax:410-747-4871
Is Sole Proprietor?:No
Enumeration Date:2007-12-28
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR141961207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology