JENNIFER L FAVAZZA NP
NPI 1508050469
Nurse Practitioner in Columbia, MD

Q: What is Jennifer Favazza's NPI number?

The NPI number for Jennifer Favazza is 1508050469. It was assigned to this individual provider in the NPPES registry on September 4, 2007.

Q: What is Jennifer Favazza's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Favazza was last updated on June 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 04, 2007

10175 LITTLE PATUXENT PKWY, COLUMBIA, MD 21044(508) 561-9344 Get Directions Write a Review

NPPES record last updated: June 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jennifer L Favazza Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER L FAVAZZA NP (NPI 1508050469) is an individual nurse practitioner in Columbia, Maryland, licensed in Massachusetts (266644) and active in the NPI registry since September 2007. She maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1508050469

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJENNIFER L FAVAZZACredential: NP

Location Address10175 LITTLE PATUXENT PKWYColumbia, MD 21044-2655

Mailing Address10175 Little Patuxent PkwyColumbia, MD 21044-2655 · (508) 561-9344

Phone(508) 561-9344

Sole ProprietorNo

Enumeration DateSeptember 4, 2007

Last NPPES UpdateJune 5, 2020

NPPES CertifiedJune 5, 2020

✔ NPI 1508050469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MA · 266644

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 266644 (MA)

10175 LITTLE PATUXENT PKWY, Columbia, MD 21044

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Secondary Practice Location 1

Location 11 Monarch Pl Fl 10Springfield, MA 01144-1099 · Phone (413) 734-2000 · Fax (413) 734-8000

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER JOY HRYNKO MSN, CRNP, RN

Nurse Practitioner (Adult Health)