Provider Demographics
NPI:1861091852
Name:PIERRE-JACQUES, JEMIMA (DNP, CRNP, PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:JEMIMA
Middle Name:
Last Name:PIERRE-JACQUES
Suffix:
Gender:F
Credentials:DNP, CRNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 BENFIELD BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:MILLERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21108-3004
Mailing Address - Country:US
Mailing Address - Phone:667-600-2494
Mailing Address - Fax:667-600-4061
Practice Address - Street 1:1111 BENFIELD BLVD STE 200
Practice Address - Street 2:
Practice Address - City:MILLERSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21108-3004
Practice Address - Country:US
Practice Address - Phone:667-600-2494
Practice Address - Fax:667-600-4061
Is Sole Proprietor?:No
Enumeration Date:2020-10-21
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2019082084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty