MS. PICKETT KENDALL JAMISON


Address: 4940 Eastern Ave Bldg Cap, Baltimore, MD 21224-2735
Phone: 4105503099

MS. PICKETT KENDALL JAMISON (NPI# 1336285428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336285428
Entity Type Individual
Full Name MS. PICKETT KENDALL JAMISON
Credential C.R.N.P.
Practice Address 4940 Eastern Ave Bldg Cap
Baltimore
MD 21224-2735
Mailing Address Po Box 64313
Baltimore
MD 21264-4313
Practice Telephone 4105503099
Practice Fax Number 4105503027
Enumeration Date 2007-01-29
Last Update Date 2012-12-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
R167602 MD Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD 016140300 05

Office Location

Street Address 4940 EASTERN AVE BLDG CAP
City BALTIMORE
State MD
Zip Code 21224-2735

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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073008157 Alindell Sasha Francis Nurse Practitioner 5601 Loch Raven Blvd Ste 306, Baltimore, MD 21239-2945 2018-06-29
1316322829 Melindia Mann Nurse Practitioner 4940 Eastern Ave Ste 121, Baltimore, MD 21224-2735 2015-07-26
1780865345 Tanya Jones Nurse Practitioner 9103 Franklin Square Dr Ste 305, Baltimore, MD 21237-3939 2007-11-23
1205477734 Jamie Huppmann Nurse Practitioner 345 Saint Paul St, Baltimore, MD 21202-2123 2019-10-07
1982178273 Tara Germaine St. Rose Nurse Practitioner 330 N Howard St, Baltimore, MD 21201-3610 2019-01-20
1023590098 Emily Korenchuk Nurse Practitioner 330 N Howard St, Baltimore, MD 21201-3610 2018-09-05
1154835858 Gracie Nichols Nurse Practitioner 22 S Greene St, Baltimore, MD 21201-1544 2017-11-17
1306219530 Catrina Renee' Richardson Nurse Practitioner 6701 North Charles Street, Baltimore, MD 21204 2015-11-10
1134525850 Joan Tilghman Nurse Practitioner 2500 W North Ave, Baltimore, MD 21216-3633 2014-11-06
1659623478 Jessica Campbell Nurse Practitioner 3700 Fleet St, Ste 200, Baltimore, MD 21224-4200 2012-10-03
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Competitor

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City BALTIMORE
Zip Code 21224

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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