IndividualActive
Jisu Lee
NPI 1790679066 · Critical Care Medicine Registered Nurse · Ellicott City, MD
Provider details
- NPI number
- 1790679066
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- R255018 (MD)
Specialties & taxonomies
Nursing Service Providers
Practice location
3013 Oak Green Ct Apt a
Ellicott City, MD 21043-3522
Phone: (240) 869-9213
Approximate (ZIP-level) locationGet directions
Mailing address
3013 Oak Green Ct Apt a
Ellicott City, MD 21043-3522
Registry dates
- Enumerated
- 2025-06-03
- Last updated
- 2025-06-03
- Certified
- 2025-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.