Individual provider · Type 1 NPI

Octavia Genise Yancey, CRNP

Nurse Practitioner · Annapolis, MD

NPI number 1891554846 Active

Practice location

820 Bestgate Rd
Annapolis, MD 21401-3404

Fax (410) 224-2118

Mailing address

4511 Dr Beans Legacy Cir
Bowie, MD 20720-6385

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR194184 (MD)
Medical-Surgical Registered Nurse 163WM0705XR194184 (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 1891554846

Octavia Genise Yancey, CRNP's National Provider Identifier is 1891554846, issued on Mar 13, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Annapolis, MD. The record was last updated on Jul 11, 2025.