Jessica Uduak Uche, CRNP-F

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R170606 Issued in MD

Practice address

2103 Lukewood Dr
Gwynn Oak, MD 21207-5307

Phone

(410) 807-2977

Fax

(443) 429-2114

NPI assigned

Aug 9, 2015

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1439078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1962888214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 LUKEWOOD DR",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212075307",
            "telephone_number": "410-807-2977",
            "fax_number": "443-429-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 LUKEWOOD DR",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212075307",
            "telephone_number": "410-807-2977",
            "fax_number": "443-429-2114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "606 Glynock Pl",
            "address_purpose": "LOCATION",
            "city": "Reisterstown",
            "state": "MD",
            "postal_code": "211361723",
            "country_code": "US",
            "telephone_number": "410-807-2977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UCHE",
        "first_name": "JESSICA",
        "middle_name": "UDUAK",
        "credential": "CRNP-F",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-09",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R170606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Gwynn Oak, MD
• Providers in Gwynn Oak, 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 Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.