Provider Demographics
NPI:1225783848
Name:ROMERO, JAMIE M (NP)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:M
Last Name:ROMERO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:JAMIE
Other - Middle Name:M
Other - Last Name:CAMPBELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9417A TWILIGHT DR
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-1625
Mailing Address - Country:US
Mailing Address - Phone:443-414-5475
Mailing Address - Fax:
Practice Address - Street 1:6830 HOSPITAL DR STE 204
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-4377
Practice Address - Country:US
Practice Address - Phone:443-414-5475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-14
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR191752363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty