Mrs Jessica Lachelle Wagner Gregg, MSN, CRNP, CPNP-AC - Nurse Practitioner in Baltimore, MD

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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.

Contact Information

Mrs Jessica Lachelle Wagner Gregg, MSN, CRNP, CPNP-AC
22 S Greene St,
Baltimore, MD 21201-1590
(410) 328-8667
Not Available



Physician's Profile

Full NameMrs Jessica Lachelle Wagner Gregg
GenderFemale
SpecialityNurse Practitioner - Pediatrics, Critical Care
Location22 S Greene St, Baltimore, Maryland
Accepts Medicare AssignmentsDoes 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.
IdentifierTypeStateIssuer
1033740980NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0203XPediatrics - Pediatric Critical Care Medicine AC002979 (Maryland)Secondary
363LP0222XNurse Practitioner - Pediatrics, Critical Care R214732 (Maryland)Secondary
363LP0222XNurse 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 AddressPractice 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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