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NPI Code Detail

MEDICARE: MRS. JEAN MARIE FLETCHER CPNP

MEDICARE: MRS. JEAN MARIE FLETCHER CPNP
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerNP61550DC
2363LP0200XPediatric Nurse PractitionerRN61550DC

General Provider Information

NPI Number : 1912285784
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JEAN MARIE FLETCHER CPNP
Provider Business Mailing Address
First Line : 804 JACKSON VALLEY CT
Second Line :
City : BOWIE
State : MD
Zip : 20721-6215
Country : US
Telephone Number : 301-802-5975
Fax Number :
Provider Business Practice Location Address
First Line : 111 MICHIGAN AVE NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20010-2916
Country : US
Telephone Number : 202-476-6083
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2011
Last Update Date : 04/14/2026

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