Jessica Mauck, CRNP Valid NPI
Individual provider · Family Nurse Practitioner · Frederick, MD
- NPI
- 1265398804
- Type
- Individual (Type 1)
- Primary specialty
- Family Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LF0000X
- License number
- AC008490 (MD)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2025-12-29
- Last updated
- 2025-12-29
Practice location
87 Thomas Johnson Dr Ste 101
Frederick, MD 21702-4427
(301) 694-0606