NPIRadar

Jeni Lyn Carrico, CRNP Valid NPI

Individual provider · Nurse Practitioner · Lexington Park, MD

NPI
1205135787
Type
Individual (Type 1)
Primary specialty
Nurse Practitioner
Specialty group
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy code
363L00000X
License number
5009950 (NC)
Sex
Female
Sole proprietor
No
Enumerated
2011-03-23
Last updated
2021-04-15
Practice location
20945 Great Mills Rd, Suite 203
Lexington Park, MD 20653-4369
(301) 866-0080

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