Physician Compare National (NPI:1932685781)

HEALTHCARE PROVIDER: JALISA MARIE GARROW NP

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1932685781
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1951652536
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180920001225
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GARROW
	Individual professional last name
Provider First Name	JALISA
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2018
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ST MARYS HOSPITAL OF ST MARYS COUNTY INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	4789589912
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	21
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	25500 POINT LOOKOUT RD
	Group Practice or individual's line 1 address
City	LEONARDTOWN
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	206502015
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3014756428
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	210028
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEDSTAR SAINT MARY'S HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y