| Jane Priscilla Roach, CRNP | |
|
2191 Defense Hwy, Suite 201, Crofton, MD 21114-2931 | |
| (410) 451-9091 | |
| (410) 451-9094 |
| Full Name | Jane Priscilla Roach |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 2191 Defense Hwy, Crofton, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063559292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | R066995 (Maryland) | Primary |
| Entity Name | Luminis Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649248485 PECOS PAC ID: 2860447315 Enrollment ID: O20080707000490 |
| Mailing Address | Practice Location Address |
|---|---|
| Jane Priscilla Roach, CRNP 2191 Defense Hwy, Suite 201, Crofton, MD 21114-2931 Ph: (410) 451-9091 | Jane Priscilla Roach, CRNP 2191 Defense Hwy, Suite 201, Crofton, MD 21114-2931 Ph: (410) 451-9091 |
Rossana Wright, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2209 Defense Hwy, Crofton, MD 21114 Phone: 188-880-8648 | |
Emefua Yvonne Claire Njualem, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2200 Defense Hwy Ste 100, Crofton, MD 21114 Phone: 240-589-5219 Fax: 301-560-8663 | |
Tamela Conner Pratt, DNP, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1662 Village Grn Ste 100, Crofton, MD 21114 Phone: 410-757-2077 | |
Cathline Carla Etienne, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2003 Davidsonville Rd, Crofton, MD 21114 Phone: 410-721-3762 | |
Nkechi Onwuemene, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2003 Davidsonville Rd, Crofton, MD 21114 Phone: 410-721-3762 | |
Aderonke Abimbola Abatan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1952 Pawlet Dr, Crofton, MD 21114 Phone: 301-256-8987 |