Provider Demographics
NPI:1750671608
Name:CHRISTIAN, JENNIFER N (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:N
Last Name:CHRISTIAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1 PRICE DR
Mailing Address - Street 2:
Mailing Address - City:ELKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21921-6731
Mailing Address - Country:US
Mailing Address - Phone:603-966-8534
Mailing Address - Fax:
Practice Address - Street 1:774 E PROVIDENCE RD
Practice Address - Street 2:C-402
Practice Address - City:ALDAN
Practice Address - State:PA
Practice Address - Zip Code:19018-4322
Practice Address - Country:US
Practice Address - Phone:603-966-8534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-12
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA196619207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine