Jennifer L Chavis, CRNP is a
Nurse Practitioner - Family based in Glyndon, Maryland. Jennifer L Chavis is licensed to practice in Maryland (license number R189332) and her current practice location is
4821 Butler Rd # 3c, Glyndon, Maryland. She can be reached at her office (for appointments etc.) via phone at
(443) 801-5914.
NPI number for Jennifer L Chavis is 1689083735 and her current mailing address is 4617 Piney Grove Road, Reisterstown, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689083735.
Provider's Profile
Full Name | Jennifer L Chavis |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 4821 Butler Rd # 3c, Glyndon, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689083735
- Provider Enumeration Date: 08/02/2014
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Jennifer L Chavis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689083735 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | R189332 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer L Chavis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jennifer L Chavis, CRNP 4617 Piney Grove Road, Reisterstown, MD 21136 Ph: (443) 801-5914 | Jennifer L Chavis, CRNP 4821 Butler Rd # 3c, Glyndon, MD 21136-5686 Ph: (443) 801-5914 |
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