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

Jillian Dickenski, CRNP

Individual provider Family Nurse Practitioner · NPI 1700580438

Jillian Dickenski, CRNP is a Nurse Practitioner in Columbia, Maryland. Qualified in 2023, 3 years ago. Practices with Life Line Corporation -4 LLC, a 2-clinician group, works from 3 locations and offers telehealth. Licensed in Maryland.

Years since qualifying
3
Licensed in
MD
In the registry since
2023
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

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Practice location Address checks out

10440 Little Patuxent Pkwy Ste 300
Columbia, MD 21044-3648
Phone: (888) 731-8994
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (2)

  • 2111 Hanover Pike, Hampstead, MD 21074-1319 — (410) 239-7073
  • 349 Malcolm Dr, Westminster, MD 21157-6106 — (410) 848-2566

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R242141 (MD)

Record details

NPI number1700580438
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedMarch 28, 2023
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Life Line Corporation -4 Llc — 2 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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