IndividualActive
Jerria Stover
NPI 1295592004 · Prosthetics Case Management · Baltimore, MD
Provider details
- NPI number
- 1295592004
- Entity type
- Individual
- Primary specialty
- Prosthetics Case ManagementOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
- Orthotic Fitter225000000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1200 S Clinton St
Baltimore, MD 21224-5065
Phone: (443) 930-0660
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3032
Baltimore, MD 21229-0032
Registry dates
- Enumerated
- 2024-02-28
- Last updated
- 2024-02-28
- Certified
- 2024-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.