Individual provider · Type 1 NPI
Jacquelyn P. Bauer, C.R.N.P.
Pediatric Nurse Practitioner · Oakland, MD
NPI number
1124010004
Active
Practice location
1027 Memorial Dr
Oakland, MD 21550-4343
Fax (833) 448-0361
Other practice locations
- 12500 Willowbrook Rd, Cumberland, MD 21502-6393 · (240) 964-7000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | R110105 (MD) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | R110105 (MD) |
| Pediatric Nurse Practitioner | 363LP0200X | SP018623 (PA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1124010004
Jacquelyn P. Bauer, C.R.N.P.'s National Provider Identifier is 1124010004, issued on Aug 17, 2005. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Oakland, MD. The record was last updated on Dec 17, 2025.