NPI 1346045952 · live from the CMS NPI Registry
Jody Kaibeh Baysah
Nurse Practitioner, Family in Laurel, MD. National Provider Identifier 1346045952, active.
NPI record
| NPI | 1346045952 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 13600 Baltimore Ave Ste 103, Laurel, MD 20707 |
| Practice phone | 301-747-3388 |
| Mailing address | 600 H St Ne Apt 541, Washington, DC 20002 |
| Enumerated | February 17, 2025 |
| Last updated | February 17, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | R248400 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.