Provider Demographics
NPI:1912023482
Name:CHAPMAN, NIEMAH L (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:NIEMAH
Middle Name:L
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MS
Other - First Name:NIEMAH
Other - Middle Name:
Other - Last Name:BOURNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:711 STAFFORD HILL DR
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-4879
Mailing Address - Country:US
Mailing Address - Phone:410-969-5309
Mailing Address - Fax:
Practice Address - Street 1:2901 OLNEY SANDY SPRING RD
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-1521
Practice Address - Country:US
Practice Address - Phone:301-774-6655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF430336-1363LA2100X
MDR198000363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care