Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jarlisa Mickey, RN, A-GPCNP-C

Individual provider Gerontology Nurse Practitioner · NPI 1093433641

Jarlisa Mickey, RN, A-GPCNP-C is a Gerontology Nurse Practitioner in Columbia, Maryland. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2022
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

10175 Little Patuxent Pkwy
Columbia, MD 21044-2655
Phone: (501) 553-1153
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 220528 (AR)

Record details

NPI number1093433641
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , A-GPCNP-C
Sole proprietorYes
NPI enumeratedAugust 19, 2022
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024

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