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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENI LYN CARRICO, CRNP

Active

JENI LYN CARRICO, CRNP is a Nurse Practitioner healthcare provider located in LEXINGTON PARK, Maryland. NPI 1205135787 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · LEXINGTON PARK, MD

Registration Details

NPI Number
1205135787
Provider Type
Individual
Gender
Female
NPI Issued
Mar 23, 2011 (15.40405763358 yrs)
Last Updated
Apr 15, 2021
Licenses
5009950 (NC)
R125002 (MD)

Practice Information

Address
20945 GREAT MILLS RD
SUITE 203
LEXINGTON PARK, MD, 206534369
Browse MD providers · Browse ZIP 20653
Phone
3018660080
Fax
3018660010
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Family Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.