JESSICA MICICHE CRNP NPI 1104598341

NPI Information

NPI: 1104598341
Provider Name: JESSICA MICICHE, CRNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Address:
1800 ORLEANS ST
BALTIMORE, MD
ZIP 21287
Phone: (410) 955-5000
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Jessica Miciche, CRNP is an acute care nurse practitioner in Baltimore, MD. Jessica Miciche, CRNP NPI is 1104598341. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1800 ORLEANS ST
BALTIMORE, MD
ZIP 21287-010
Phone: (410) 955-5000

The enumeration date for this NPI number is 10/5/2021 and was last updated on 10/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	R202911	MARYLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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