JARLISA MICKEY

COLUMBIA, MD
NPI1093433641
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: AR  220528)
Enumeration Date2022-08-19
Last Update Date2024-08-26
Business Address
JARLISA MICKEY RN, A-GPCNP-C
10175 LITTLE PATUXENT PKWY
COLUMBIA, MD 21044-2655
Phone number: 501-553-1153
Mailing Address
JARLISA MICKEY RN, A-GPCNP-C
10175 LITTLE PATUXENT PKWY
COLUMBIA, MD 21044-2655
Phone number: