Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Lynn Udan

Individual provider Medical Physician Assistant · NPI 1811176308

Jennifer Lynn Udan is a Physician Assistant in Baltimore, Maryland. Qualified in 2007, 19 years ago. Practices with Agape Physical Therapy and Sports Rehabilitation LP, a 677-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
19
Licensed in
MD
In the registry since
2007

Practice location Address checks out

8830 Belair Rd Surgical Pa'S
Baltimore, MD 21236-2401
Phone: (410) 529-9200
Fax: (410) 529-9203
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence C0003596 (MD)

Record details

NPI number1811176308
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 31, 2007
Last updated in NPPESMarch 26, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Agape Physical Therapy And Sports Rehabilitation Lp — 677 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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