Provider Demographics
NPI:1073794491
Name:RILEY, JAMEKA WYKEE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:JAMEKA
Middle Name:WYKEE
Last Name:RILEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:JAMEKA
Other - Middle Name:WYKEE
Other - Last Name:FLETCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2001 MEDICAL PKWY
Mailing Address - Street 2:MARYLAND INPATIENT CARE SPECIALISTS
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-3280
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2001 MEDICAL PKWY
Practice Address - Street 2:MARYLAND INPATIENT CARE SPECIALISTS
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3280
Practice Address - Country:US
Practice Address - Phone:240-994-2753
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-14
Last Update Date:2007-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0003155363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant