Jennifer Diefendorf
Physician Assistant in Westminster, MD. Individual provider (NPI-1).
NPI number1023973161
StatusActive
Last updated in NPPESDec 22, 2025
Details
- NPI
- 1023973161
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Diefendorf
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 22, 2025
- Certification date
- Dec 21, 2025
- Last updated
- Dec 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
320 Beaver Run CtWestminster, MD 21157-7255
Phone 443-992-3272
Mailing address
320 Beaver Run CtWestminster, MD 21157-7255
Phone 443-992-3272
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