WILDFLOWER PSYCHIATRY LLC NPI 1245043728

NPI Information

  • NPI: 1245043728
  • Provider Name: WILDFLOWER PSYCHIATRY, LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 10055 RED RUN BLVD STE 200
    OWINGS MILLS, MD
    ZIP 21117
  • Phone: (240) 599-7804

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NPI Details

WILDFLOWER PSYCHIATRY, LLC is a psychiatric/mental health nurse practitioner in Owings Mills, MD. WILDFLOWER PSYCHIATRY, LLC NPI is 1245043728. The provider is registered as an organization entity type.

The provider's business location address is:

10055 RED RUN BLVD STE 200
OWINGS MILLS, MD
ZIP 21117-867
Phone: (240) 599-7804

The provider's authorized official is Jennifer Douglas .
The authorized official title is Owner and has the following contact phone number (240) 599-7804.

The enumeration date for this NPI number is 1/29/2025 and was last updated on 1/29/2025.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 11/21/2025

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