Healthcare Provider Details

I. General information

NPI: 1417862095
Provider Name (Legal Business Name): JACQUELINE LAPOINTE CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 N BROADWAY
BALTIMORE MD
21205-1424
US

IV. Provider business mailing address

2906 ISLAY CT
ABINGDON MD
21009-3141
US

V. Phone/Fax

Practice location:
  • Phone: 443-923-9400
  • Fax:
Mailing address:
  • Phone: 443-799-0198
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberR238836
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: