Provider Demographics
NPI:1902282064
Name:WOJCICKI, JESSICA (NBC-HWC)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:WOJCICKI
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:
Other - Last Name:LANDIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, BSN, RN
Mailing Address - Street 1:7850 CONTEE RD APT 489
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-9269
Mailing Address - Country:US
Mailing Address - Phone:240-383-0053
Mailing Address - Fax:
Practice Address - Street 1:50 IRVING ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20422-0001
Practice Address - Country:US
Practice Address - Phone:202-230-9843
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-30
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28164560A163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine