Jerria Stover
Specialist, Prosthetics Case Management in Baltimore, MD. Individual provider (NPI-1).
NPI number1295592004
StatusActive
Last updated in NPPESFeb 28, 2024
Details
- NPI
- 1295592004
- Entity type
- Individual (NPI-1)
- Name
- Jerria Stover
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 28, 2024
- Certification date
- Feb 28, 2024
- Last updated
- Feb 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1744P3200X | Specialist, Prosthetics Case Management | – | – | Yes |
| 225000000X | Orthotic Fitter | – | – |
Practice location
1200 S Clinton StBaltimore, MD 21224-5065
Phone 443-930-0660
Mailing address
Po Box 3032Baltimore, MD 21229-0032
Phone 443-930-0660
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