Individual provider · Type 1 NPI
Jean Michelle Rodgers, CRNP
Pediatric Nurse Practitioner · Baltimore, MD
NPI number
1063622009
Active
Practice location
1800 Orleans St
Baltimore, MD 21287-0010
Mailing address
6201 Greenleigh Ave
Baltimore, MD 21220-2004
Other practice locations
- 2675 Joppa Rd, York, PA 17403-5160 · (717) 741-9063
- 6401 York Rd, 3rd Floor, Baltimore, MD 21212-2152 · (410) 887-3740
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | AC001104 (MD) |
| Pediatric Nurse Practitioner | 363LP0200X | 221117 (NC) |
| Pediatric Nurse Practitioner | 363LP0200X | SP018070 (PA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | R220571 (MD) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1063622009
Jean Michelle Rodgers, CRNP's National Provider Identifier is 1063622009, issued on May 22, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Baltimore, MD. The record was last updated on Jul 7, 2025.