Individual
MS. MILLIE L JARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
14100 DUNWOOD VALLEY DR, BOWIE, MD 20721-1245
(301) 390-0730
Mailing address
14100 DUNWOOD VALLEY DR, BOWIE, MD 20721-1245
(301) 390-0730
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R068482
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405446600
—
MD
01
—
641878-01
CAREFIRST MARYLAND
MD
01
—
80390002
BLUE CROSS BLUE SHIELD DC
DC
Enumeration date
12/01/2006
Last updated
07/14/2014
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