Provider Demographics
NPI:1841661832
Name:ALBERT, JEANINE MARIANNE (CRNP)
Entity type:Individual
Prefix:MS
First Name:JEANINE
Middle Name:MARIANNE
Last Name:ALBERT
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Gender:F
Credentials:CRNP
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Mailing Address - Street 1:7250 PARKWAY DR STE 500
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-1343
Mailing Address - Country:US
Mailing Address - Phone:443-949-0814
Mailing Address - Fax:443-949-0825
Practice Address - Street 1:4692 BROWNSBORO ROAD
Practice Address - Street 2:PHYSICIANS ELDERCARE
Practice Address - City:WINSTON-SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106
Practice Address - Country:US
Practice Address - Phone:336-251-1114
Practice Address - Fax:336-251-1117
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-15
Last Update Date:2018-05-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC5008886363LA2200X
PASP014919363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health