Active NPI
Gwynneth L Jarrell
- Primary Care Nurse Practitioner
- Glen Burnie, MD
National Provider Identifier
1285556795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- R185093
- Practice address
- 1600 Crain Hwy S Ste 502
Glen Burnie, MD 21061-6441 - Phone
- (410) 766-8911
- NPI assigned
- Jul 27, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | R185093 | MD | Primary |
Addresses
Primary practice location
1600 Crain Hwy S Ste 502
Glen Burnie, MD 21061-6441
Mailing address
390 South Dr
Severna Park, MD 21146-2111
Phone (410) 562-6087
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1285556795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 SOUTH DR",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211462111",
"telephone_number": "410-562-6087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 CRAIN HWY S STE 502",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210616441",
"telephone_number": "410-766-8911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARRELL",
"first_name": "GWYNNETH",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-27",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MD",
"license": "R185093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.