Mrs. Jessica Lachelle Wagner Gregg
Pediatric Critical Care Doctor
22 S Greene St
Baltimore
, Maryland 21201-1590
Mrs. Jessica Lachelle Wagner Gregg
Pediatric Critical Care Doctor
22 S Greene St
Baltimore
, Maryland 21201-1590
(561) 685-7782
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About
Features
Specialties
- Pediatric Critical Care Doctor
Languages spoken
- English
Location
First Address
- Mrs. Jessica Lachelle Wagner Gregg
- 621 S Paca St
- Baltimore, MD
- Zip : 21230-2411
- Phone : (561) 685-7782
Second Address
- Mrs. Jessica Lachelle Wagner Gregg
- 22 S Greene St
- Baltimore, MD
- Zip : 21201-1590
- Phone : (410) 328-8667
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0203X | Pediatric Critical Care Doctor | AC002979 | MD |
National Provider Identifier
| NPI | 1033740980 |
|---|---|
| Provider Name | Mrs. Jessica Lachelle Wagner Gregg |
| First Address | Baltimore, MD 21230-2411 |
| Second Address | Baltimore, MD 21201-1590 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/01/2020 |
| Last Update Date | 29/01/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.