Individual provider · Type 1 NPI

Jarlisa Mickey, RN, A-GPCNP-C

Gerontology Nurse Practitioner · Columbia, MD

NPI number 1093433641 Active

Practice location

10175 Little Patuxent Pkwy
Columbia, MD 21044-2655

Call (501) 553-1153 Map

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X220528 (AR)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1093433641

Jarlisa Mickey, RN, A-GPCNP-C's National Provider Identifier is 1093433641, issued on Aug 19, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Columbia, MD. The record was last updated on Aug 26, 2024.