Provider Demographics
NPI:1295582328
Name:DHJ HEALTHCARE LLC.
Entity type:Organization
Organization Name:DHJ HEALTHCARE LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:HINDS-JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP, FNP-BC
Authorized Official - Phone:646-942-8981
Mailing Address - Street 1:304 ERIN RUSSEL CT
Mailing Address - Street 2:
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-1968
Mailing Address - Country:US
Mailing Address - Phone:646-942-8981
Mailing Address - Fax:
Practice Address - Street 1:700 WALNUT AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-1619
Practice Address - Country:US
Practice Address - Phone:410-861-0347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care