Jaimie Pollock
Individual provider Active NPI Adult Health Nurse Practitioner · Boyds, MD
NPI 1942938402 · NPPES record last updated Aug 12, 2022
Key facts
- NPI
- 1942938402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- R232177 (MD)
- Practice address
- 12204 Greenridge Dr
Boyds, MD 20841-9032 - Phone
- (609) 970-5942
- NPI assigned
- Aug 12, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R232177 | MD | MD | Adult Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | R232177 | MD | Yes |
Addresses
Primary practice location
12204 Greenridge Dr
Boyds, MD 20841-9032
Mailing address
12204 Greenridge Dr
Boyds, MD 20841-9032
Other providers in Boyds, MD
- Beatrice Nyokabi Njoroge
- Carolee Noury
- Suhali Patel
- Toral Patel
- Physio in Motion - Mobile Physical Therapy and Wellness LLC
- Bushra N Queraishi
- Resolve Health & Wellness LLC
- Meaghan Louree Rolle Rickman
- Rodolfo C. Valenzuela LLC
- Ana Rubio
All providers in Boyds, MD · Adult Health Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.