Organization
VALLEY VISTA PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN N OGU PMHNP (CEO)
(202) 644-0856
Entity
Organization
Contact information
Practice address
11155 DOLFIELD BLVD STE 116, OWINGS MILLS, MD 21117-3289
(202) 644-0856
Mailing address
11155 DOLFIELD BLVD STE 116, OWINGS MILLS, MD 21117-3289
(120) 264-4085
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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