DR. JENDAYI GANTT DNP CNM PMHNP-BC NPI 1235386939

NPI Information

  • NPI: 1235386939
  • Provider Name: DR. JENDAYI GANTT, DNP, CNM, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4690 MILLENNIUM DR STE 300
    BELCAMP, MD
    ZIP 21017
  • Phone: (443) 255-6499

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NPI Details

DR. Jendayi Gantt, DNP, CNM, PMHNP-BC is a psychiatric/mental health nurse practitioner in Belcamp, MD. DR. Jendayi Gantt, DNP, CNM, PMHNP-BC NPI is 1235386939. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4690 MILLENNIUM DR STE 300
BELCAMP, MD
ZIP 21017-527
Phone: (443) 255-6499

The NPI 1235386939 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 8/25/2008 and was last updated on 8/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1367A00000XAdvanced Practice MidwifeR163670MARYLANDNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthR163670MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1R163670OTHERMARYLANDSTATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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