Individual provider · Type 1 NPI

Jessica Kwebetchou

Nurse Practitioner · Towson, MD

NPI number 1811885502 Active

Practice location

6535 N Charles St Ste 500
Towson, MD 21204-5832

Mailing address

10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR193212 (MD)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1811885502

Jessica Kwebetchou's National Provider Identifier is 1811885502, issued on Jun 24, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Towson, MD. The record was last updated on Jun 24, 2025.