Healthcare Provider Details

I. General information

NPI: 1255712287
Provider Name (Legal Business Name): JAASKA HAUSER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JAASKA CATHER APRN

II. Dates (important events)

Enumeration Date: 06/16/2015
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7055 SAMUEL MORSE DR STE 200
COLUMBIA MD
21046-3441
US

IV. Provider business mailing address

7055 SAMUEL MORSE DR STE 200
COLUMBIA MD
21046-3441
US

V. Phone/Fax

Practice location:
  • Phone: 410-910-6700
  • Fax:
Mailing address:
  • Phone: 410-910-6700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024124597
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code364SP0813X
TaxonomyGeropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
License Number00024124597
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: