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Jenise Rivera

NPI 1720917586 · on the registry since 2026

Practice

Address
12620 Knottwood Ln
Brandywine, MD 20613
Phone
(386) 333-8452

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-05-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland