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NPI Code Detail

MEDICARE: JADE A LEE MSN

MEDICARE: JADE A LEE MSN
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
1363LF0000XFamily Nurse Practitioner25800SC

General Provider Information

NPI Number : 1700523768
Entity Type Code : Individual
Provider Name (Legal Business Name) : JADE A LEE MSN
Provider Business Mailing Address
First Line : 10175 LITTLE PATUXENT PKWY
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-2655
Country : US
Telephone Number : 800-561-0861
Fax Number :
Provider Business Practice Location Address
First Line : 10175 LITTLE PATUXENT PKWY
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-2655
Country : US
Telephone Number : 800-561-0861
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2022
Last Update Date : 03/16/2026

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