Jennifer Provonche

NPI 1588399307 · on the registry since 2022 · sole proprietor

Practice

Address: 2205 York Rd Ste 10
Timonium, MD 21093
Phone: (443) 470-9226
Organisation at this address: Fox Rehab Ot Md Llc
Fox Rehab Pt Md Llc
Fox Rehab Slp Md Llc
Sherwood Mental Health, Llc
Passport Health Holdings, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: MD
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-04-07

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