Healthcare Provider Details

I. General information

NPI: 1912023482
Provider Name (Legal Business Name): NIEMAH L CHAPMAN CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NIEMAH BOURNE CRNP

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 12/26/2025
Certification Date: 12/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HOSPITAL DR
GLEN BURNIE MD
21061-5884
US

IV. Provider business mailing address

200 HOSPITAL DR
GLEN BURNIE MD
21061-5884
US

V. Phone/Fax

Practice location:
  • Phone: 410-837-2050
  • Fax: 410-766-3150
Mailing address:
  • Phone: 410-837-2050
  • Fax: 410-766-3150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberF430336-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR198000
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: