Organization
WILDFLOWER PSYCHIATRY, LLC
Active
Other names
Willow Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER DOUGLAS (NURSE PRACTITIONER)
(240) 599-7804
Entity
Organization
Contact information
Practice address
10055 RED RUN BLVD STE 200, OWINGS MILLS, MD 21117-4867
(240) 599-7804
(240) 752-0849
Mailing address
10055 RED RUN BLVD STE 200, OWINGS MILLS, MD 21117-4867
(240) 599-7804
(240) 752-0849
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/04/2023
Last updated
09/02/2025
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