Mrs Jessica Lachelle Wagner Gregg, MSN, CRNP, CPNP-AC is a
Nurse Practitioner - Pediatrics, Critical Care physician based in Baltimore, Maryland. Mrs Jessica Lachelle Wagner Gregg is licensed to practice in Texas (license number 1076101) and her current practice location is 22 S Greene St, Baltimore, Maryland. She can be reached at her office (for appointments etc.) via phone at
(410) 328-8667.
NPI number for Mrs Jessica Lachelle Wagner Gregg is 1033740980 and her current mailing address is 6651 Main St, Ste E1420, Houston, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033740980.
Physician's Profile
Full Name | Mrs Jessica Lachelle Wagner Gregg |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics, Critical Care |
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Location | 22 S Greene St, Baltimore, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033740980
- Provider Enumeration Date: 01/29/2020
- Last Update Date: 08/16/2022
Medical Identifiers
Medical identifiers for Mrs Jessica Lachelle Wagner Gregg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033740980 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080P0203X | Pediatrics - Pediatric Critical Care Medicine | AC002979 (Maryland) | Secondary |
363LP0222X | Nurse Practitioner - Pediatrics, Critical Care | R214732 (Maryland) | Secondary |
363LP0222X | Nurse Practitioner - Pediatrics, Critical Care | 1076101 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jessica Lachelle Wagner Gregg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Jessica Lachelle Wagner Gregg, MSN, CRNP, CPNP-AC 6651 Main St, Ste E1420, Houston, TX 77030-2432 Ph: (832) 826-6240 | Mrs Jessica Lachelle Wagner Gregg, MSN, CRNP, CPNP-AC 22 S Greene St, Baltimore, MD 21201-1590 Ph: (410) 328-8667 |
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