Individual provider · Type 1 NPI
Jessica Miciche, CRNP
Acute Care Nurse Practitioner · Baltimore, MD
NPI number
1104598341
Active
Practice location
1800 Orleans St
Baltimore, MD 21287-0010
Mailing address
6201 Greenleigh Ave
Middle River, MD 21220-2004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | R202911 (MD) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1104598341
Jessica Miciche, CRNP's National Provider Identifier is 1104598341, issued on Oct 5, 2021. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Baltimore, MD. The record was last updated on Oct 28, 2024.