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