Individual
MRS. LAURA RACHEL JAISSLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP-PMH
Contact information
Practice address
7067 COLUMBIA GATEWAY DR, SUITE 180, COLUMBIA, MD 21046
(410) 929-7225
(443) 333-5434
Mailing address
8 CLIPPING TREE LN., COCKEYSVILLE, BALTIMORE COUNTY, MD 21030
(443) 621-0478
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R14933
MD
Other
Enumeration date
11/09/2006
Last updated
03/16/2016
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