Organization
WILDFLOWER PSYCHIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER DOUGLAS NP (OWNER)
(240) 599-7804
Entity
Organization
Contact information
Practice address
10055 RED RUN BLVD STE 200, OWINGS MILLS, MD 21117-4867
(240) 599-7804
Mailing address
1402 BAKER PL W APT 33, FREDERICK, MD 21702-3247
(240) 849-0886
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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