Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jisha S Varghese, A-GNP-C

Individual provider Adult Health Nurse Practitioner · NPI 1881202570

Jisha S Varghese, A-GNP-C is a Nurse Practitioner in Ellicott City, Maryland. Qualified in 2020, 6 years ago. Practices with Maryland Medical First PA, a 28-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
6
Licensed in
MD
In the registry since
2020
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Practice location Address checks out

3257 Ramblewood Rd
Ellicott City, MD 21042-2445
Phone: (443) 518-9907
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence R160402 (MD)

Record details

NPI number1881202570
Entity typeIndividual (Type 1)
GenderFemale
Credentials A-GNP-C
Sole proprietorYes
NPI enumeratedJuly 19, 2020
Last updated in NPPESJuly 19, 2020
Certification dateJuly 19, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Maryland Medical First Pa — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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