Dwayne Omar Ennis, PMHNP-BC

NPI #1700607835 in La Plata, Maryland

Provider Information

NPI Number
1700607835
Entity Type
Individual
Name
Dwayne Omar Ennis, PMHNP-BC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Psychiatric/Mental Health
Credential
PMHNP-BC
Enumeration Date
Oct 21, 2024
Last Updated
Feb 6, 2026

Practice Location

Address
1014 WASHINGTON AVE
ZIP Code
20646-4228
Phone
(917) 560-5145

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Psychiatric/Mental HealthPsychiatric/Mental Health

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