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Individual

MELVEENA JOHNSON-BOLDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
1300 MERCANTILE LN STE 129-14, UPPER MARLBORO, MD 20774-5327
(301) 381-3622
(877) 832-1272
Mailing address
12008 HUNTERTON ST, UPPER MARLBORO, MD 20774-1614
(301) 807-7138

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R197061
MD

Other

Enumeration date
10/17/2021
Last updated
04/30/2025
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