JACQUELINE LECLERCQ


Address: 110 Hospital Road Suite 303, Prince Frederick, MD 20678
Phone: 4105352005

JACQUELINE LECLERCQ (NPI# 1891126827) 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) 1891126827
Entity Type Individual
Full Name JACQUELINE LECLERCQ
Credential CRNP
Practice Address 110 Hospital Road Suite 303
Prince Frederick
MD 20678
Mailing Address 110 Hospital Rd
Suite 310
Prince Frederick
MD 20678-4019
Practice Telephone 4105352005
Practice Fax Number 4105355761
Mailing Telephone 4105352005
Mailing Fax Number 4105355761
Enumeration Date 2013-12-02
Last Update Date 2013-12-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner R119066 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 110 HOSPITAL ROAD SUITE 303
City PRINCE FREDERICK
State MD
Zip Code 20678

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861857500 Watershed Counseling Service Counselor 246 Merrimac Court, Prince Frederick, MD 20678 2015-12-23
1023449642 Mary Gordon Walter Registered Nurse 976 Solomans Island Road, Prince Frederick, MD 20678 2013-12-07
1174959001 Linsey Rowe Heane Physical Therapist 110 Main Street Suite 1, Prince Frederick, MD 20678 2013-09-24
1053607002 Tidewater Dental Pf Dentist 690 Prince Frederick Blvd, Prince Frederick, MD 20678 2011-06-28
1033411558 Sharon Patricia Parran Pharmacist 80 W.dares Beach Road, Prince Frederick, MD 20678 2010-12-04
1366684326 Prince Frederick Surgery Center LLC Clinic/Center 70 Sherry Lane, Suite 101, Prince Frederick, MD 20678 2009-04-06
1982844734 Orthocare Solutions Inc Durable Medical Equipment & Medical Supplies 220 Old Solomans Island Rd, Prince Frederick, MD 20678 2009-03-05
1225273519 Rebecca Lynn Jahed Audiologist 3180 Blackberry Lane, Prince Frederick, MD 20678 2008-12-16
1669639209 Ralph Walter Niemann Dentist 272 Merrimac Court, Prince Frederick, MD 20678 2008-05-21
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770109456 Patricia A Smawley Nurse Practitioner 1005 Prince Frederick Blvd Ste 101, Prince Frederick, MD 20678-3195 2020-06-18
1497381586 Ashly Gray Nurse Practitioner 110 Hospital Rd, Prince Frederick, MD 20678-4019 2020-03-20
1528247475 Dawn Buckmire Nurse Practitioner 70 Sherry Ln, Suite 202, Prince Frederick, MD 20678-3275 2007-10-29

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1962000679 Laly Sorto Nurse Practitioner 923 S Curley St, Baltimore, MD 21224-4825 2020-10-14
1841897139 Ha Le Nurse Practitioner 160 Ritchie Hwy, Severna Park, MD 21146-1120 2020-10-08
1386241685 Audrey Roxanne Mathew Nurse Practitioner 546 N Frederick Ave # 1490, Gaithersburg, MD 20877-2504 2020-10-08
1093312209 Shelby Bruno Nurse Practitioner 29 S Greene St Fl 2, Baltimore, MD 21201-1504 2020-10-01
1295342772 Gilead Associates LLC Nurse Practitioner 206 Mulberry Ridge Ct, Pasadena, MD 21122-7514 2020-09-28
1659986735 Tatyana Vladimirovna Valentin Nurse Practitioner 490 Cadmus Ln Ste 102, Easton, MD 21601-4091 2020-09-15
1205440328 Courtney Lavon Phillip Nurse Practitioner 4461 Pleasant Hill Ct, Pomfret, MD 20675-3104 2020-09-04
1386256634 Steven Carroll Nurse Practitioner 731 Crisfield Way, Annapolis, MD 21401-4576 2020-08-18
1346850666 Cynthia Adwoah Mireku-baabu Nurse Practitioner 19241 Sharon Dr, Hagerstown, MD 21742-2433 2020-08-01
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Competitor

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City PRINCE FREDERICK
Zip Code 20678

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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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