MEDICARE: JESSICA NICHOLE MEYERS CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	R189447	MD

General Provider Information

NPI Number	:	1538696604
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA NICHOLE MEYERS CRNP

Provider Business Mailing Address
First Line	:	14689 GARRETT HWY STE 3
Second Line	:
City	:	OAKLAND
State	:	MD
Zip	:	21550-4059
Country	:	US
Telephone Number	:	301-859-7178
Fax Number	:	240-270-5229

Provider Business Practice Location Address
First Line	:	14689 GARRETT HWY STE 3
Second Line	:
City	:	OAKLAND
State	:	MD
Zip	:	21550-4059
Country	:	US
Telephone Number	:	301-859-7178
Fax Number	:	240-270-5229

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2017
Last Update Date	:	01/12/2026

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