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LAEASHA KELLAM CRNP
NPI 1487421210
Nurse Practitioner - Family in Clinton, MD

Active since December 12, 2023
7905 MALCOLM RD STE 205, CLINTON, MD 20735(301) 355-0223 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Laeasha Kellam Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAEASHA KELLAM CRNP (NPI 1487421210) is an individual family provider in Clinton, Maryland, licensed in Maryland (R202674) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1487421210
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLAEASHA KELLAMCredential: CRNP
Location Address7905 MALCOLM RD STE 205Clinton, MD 20735-1749
Mailing Address11414 Tower Hill LnMardela Springs, MD 21837-2253 · (443) 880-1557
Phone(301) 355-0223
Sole ProprietorYes
Enumeration DateDecember 12, 2023
NPPES CertifiedDecember 12, 2023
✔ NPI 1487421210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R202674
7905 MALCOLM RD STE 205, Clinton, MD 20735
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NIAMBI RENEE HOGANS FNP-BC
Nurse Practitioner (Family)
7905 MALCOLM RD STE 205
CLINTON, MD 20735
Prince George's County (301) 355-0223
NURSES STAFFING NURSES LLC
Clinic/Center (Primary Care)
7905 MALCOLM RD STE 205
CLINTON, MD 20735
Prince George's County (301) 355-0223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laeasha Kellam's NPI number?

The NPI number for Laeasha Kellam is 1487421210. It was assigned to this individual provider in the NPPES registry on December 12, 2023.

Where is Laeasha Kellam located?

Laeasha Kellam practices at 7905 Malcolm Rd Ste 205, Clinton, MD 20735. The listed phone number is (301) 355-0223.

What is Laeasha Kellam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Laeasha Kellam was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.