IndividualActive
Jennifer Favazza, NP
NPI 1508050469 · Nurse Practitioner · Columbia, MD
Provider details
- NPI number
- 1508050469
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 266644 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(93/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10175 Little Patuxent Pkwy
Columbia, MD 21044-2655
Phone: (508) 561-9344
Street-level locationGet directions
Mailing address
10175 Little Patuxent Pkwy
Columbia, MD 21044-2655
Additional practice locations (1)
- 1 Monarch Pl Fl 10Springfield, MA 01144-1099Phone: (413) 734-2000Fax: (413) 734-8000
Registry dates
- Enumerated
- 2007-09-04
- Last updated
- 2020-06-05
- Certified
- 2020-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.