Provider Demographics
NPI:1700261161
Name:JOBE, AMBER (CRNP)
Entity Type:Individual
Prefix:MS
First Name:AMBER
Middle Name:
Last Name:JOBE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MS
Other - First Name:AMBER
Other - Middle Name:MICHELLE
Other - Last Name:JOBE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CRNP
Mailing Address - Street 1:7210 ELKRIDGE CROSSING WAY
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-5423
Mailing Address - Country:US
Mailing Address - Phone:412-389-8441
Mailing Address - Fax:443-705-0090
Practice Address - Street 1:1965 GREENSPRING DR STE 211
Practice Address - Street 2:
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-4137
Practice Address - Country:US
Practice Address - Phone:410-846-2068
Practice Address - Fax:443-705-0090
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-28
Last Update Date:2024-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR179962363L00000X
MDRI179962163WN0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0800XNursing Service ProvidersRegistered NurseNeuroscience
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner