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Contact Information

JAILENE M CORPORAN
7503 SURRATTS RD
CLINTON, MD20735-3358
 Phone: 301-868-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
 

Critical Care Medicine

163WC0200X
Indicates primary specialty

NPI Profile & details for JAILENE M CORPORAN · (Female)

NPI Number 1972485761
Status Active
Credentials
Entity Individual
Enumeration date 07/23/2025
Last updated 09/02/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • MD License # R255912
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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