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Organization

ONSITE PSYCHIATRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JESSICA M MILLER DNP/PMHNP, CRNP-PMH (OWNER)
(312) 342-1444
Entity
Organization

Contact information

Practice address
1414 REISTERSTOWN RD, PIKESVILLE, MD 21208-3820
(312) 342-1444
Mailing address
900 WHITELOCK ST APT A, BALTIMORE, MD 21217-5324
(312) 342-1444

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
251S00000X
Community/Behavioral Health Agency
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
01/25/2025
Last updated
09/17/2025
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