Individual provider · Type 1 NPI
Jisu Lee
Critical Care Medicine Registered Nurse · Ellicott City, MD
NPI number
1790679066
Active
Practice location
3013 Oak Green Ct Apt A
Ellicott City, MD 21043-3522
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse Primary | 163WC0200X | R255018 (MD) |
Critical Care Medicine Registered Nurse: Definition to come...
Other critical care medicine registered nurse providers in Ellicott City
About NPI 1790679066
Jisu Lee's National Provider Identifier is 1790679066, issued on Jun 3, 2025. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Ellicott City, MD. The record was last updated on Jun 3, 2025.