Healthcare Provider Details

I. General information

NPI: 1669266938
Provider Name (Legal Business Name): CHIEF HEALTH & READINESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2025
Last Update Date: 04/09/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7919B ELIZABETH RD
PASADENA MD
21122-2311
US

IV. Provider business mailing address

7919B ELIZABETH RD
PASADENA MD
21122-2311
US

V. Phone/Fax

Practice location:
  • Phone: 410-507-9449
  • Fax: 469-242-9596
Mailing address:
  • Phone: 410-507-9449
  • Fax: 469-242-9596

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. MEGAN L JENDROSSEK
Title or Position: CERTIFIED REGISTERED NURSE PRACTITI
Credential: CRNP, AGNP-C
Phone: 410-507-9449