Provider Demographics
NPI:1629338637
Name:KRUMMEL, JESSICA LYNN (NP)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:LYNN
Last Name:KRUMMEL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:137 W HIGH ST STE 3B
Mailing Address - Street 2:
Mailing Address - City:ELKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21921-8606
Mailing Address - Country:US
Mailing Address - Phone:443-245-7377
Mailing Address - Fax:410-620-3083
Practice Address - Street 1:137 W HIGH ST STE 3B
Practice Address - Street 2:
Practice Address - City:ELKTON
Practice Address - State:MD
Practice Address - Zip Code:21921-8606
Practice Address - Country:US
Practice Address - Phone:443-245-7377
Practice Address - Fax:410-620-3083
Is Sole Proprietor?:No
Enumeration Date:2012-05-23
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELH-0000198363LW0102X
MDR152415363LW0102X
SC27856363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health