Individual Healthcare Provider
Jennifer Lynn Haller, CRNP
Provider's NPPES record last updated: May 1, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1073220547
- Primary Specialty
- Nurse Practitioner — Psychiatric/Mental Health
- Practice Location
- Newark, Delaware
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 21, 2026, 4:22 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Psychiatric/Mental Health
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LP0808X
Provider-Reported License Information
- Nurse Practitioner (Maryland)
- R185480
- Nurse Practitioner (Delaware)
- L8-0010385
Practice Locations
Practice Location
200 Continental Dr Ste 401
Newark, Delaware 19713-4337
Phone: (410) 800-2169
Additional Practice Location
25 E Ellendale St 2fl F
Bel Air, Maryland 21014
Phone: (410) 989-2034
Fax: (410) 755-7628
Additional Practice Location
2015 Emmorton Rd Ste 201
Bel Air, Maryland 21015-6180
Phone: (410) 800-2169
Fax: (410) 777-8742
Additional Practice Location
11350 Mccormick Rd Ste 800
Hunt Valley, Maryland 21031-1002
Phone: (410) 800-2169
Fax: (410) 777-8742
Additional Practice Location
3016 Level Rd
Churchville, Maryland 21028-1409
Phone: (410) 877-5668
Record Information
- Enumeration Date
- November 3, 2022
- Provider's NPPES Record Last Updated
- May 1, 2026
- Certification Date
- May 1, 2026
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue