Individual provider · Type 1 NPI

Jessica Lachelle Wagner Gregg, MSN, CRNP, CPNP-AC

Critical Care Pediatric Nurse Practitioner · Baltimore, MD

NPI number 1033740980 Active

Practice location

22 S Greene St
Baltimore, MD 21201-1590

Mailing address

6651 Main St Ste E1420
Houston, TX 77030-2432

Other practice locations

  • 6621 Fannin St, Houston, TX 77030-2399 · (832) 826-6240
  • 800 E Dawson St, Tyler, TX 75701-2036 · (903) 606-5956

Specialties and licenses

TaxonomyCodeLicense
Pediatric Critical Care Medicine Physician 2080P0203XAC002979 (MD)
Critical Care Pediatric Nurse Practitioner 363LP0222XR214732 (MD)
Critical Care Pediatric Nurse Practitioner Primary 363LP0222X1076101 (TX)

Critical Care Pediatric Nurse Practitioner: Definition to come...

2,012 other providers at this address

Other critical care pediatric nurse practitioner providers in Baltimore

See all in Baltimore →

About NPI 1033740980

Jessica Lachelle Wagner Gregg, MSN, CRNP, CPNP-AC's National Provider Identifier is 1033740980, issued on Jan 29, 2020. The primary taxonomy on file is Critical Care Pediatric Nurse Practitioner (363LP0222X), and the practice location is in Baltimore, MD. The record was last updated on Nov 17, 2025.