Elin Jacquette, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R207774 Issued in MD

Practice address

4610 Exmoore CT
Upper Marlboro, MD 20772-8072

Phone

(404) 421-2555

NPI assigned

Aug 2, 2025

Sex

Unspecified or another gender identity

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Metrospine PC

  • Specialist
  • Oxon Hill, MD
  • NPI 1194844357

  DC

  Medicare reassignment NPD
• Metrospine PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Oxon Hill, MD
  • NPI 1861860116
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754092800000",
    "number": "1801770995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 EXMOORE CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207728072",
            "telephone_number": "404-421-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 EXMOORE CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207728072",
            "telephone_number": "404-421-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUETTE",
        "first_name": "ELIN",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-08-02",
        "last_updated": "2025-08-02",
        "certification_date": "2025-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R207774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Earlene Shavon Jackson
• Ebony Jackson
• Janae Jackson, LMSW
• Sanaia Jackson, BEHAVIOR TECHNICIAN
• Shelby Jackson
• Natalie Jaffer, CRNP
• Haja Jah
• Oluwatosin Esther Jaiyeola
• Jestina Sayon Jalloh-Jamboria, CRNP
• Abubakar Jalloh

• Family Nurse Practitioner in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.