Healthcare Provider Details

I. General information

NPI: 1821423211
Provider Name (Legal Business Name): JESS ROMEO PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JESSICA L LUPARDUS

II. Dates (important events)

Enumeration Date: 09/05/2013
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10400 LITTLE PATUXENT PKWY STE 260
COLUMBIA MD
21044-3581
US

IV. Provider business mailing address

10400 LITTLE PATUXENT PKWY STE 260
COLUMBIA MD
21044-3581
US

V. Phone/Fax

Practice location:
  • Phone: 240-763-7737
  • Fax: 877-763-6239
Mailing address:
  • Phone: 240-707-6725
  • Fax: 877-763-6239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR247967
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN2320153
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: