Individual
JAICIE N CONGRESS
Active
Individual
JAICIE N CONGRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5010457
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NN2081H224
MEDICARE
NC
01
—
NN2081N975
MEDICARE
NC
Enumeration date
04/13/2018
Last updated
03/26/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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