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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DWAYNE OMAR ENNIS, PMHNP-BC

Active

DWAYNE OMAR ENNIS, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in LA PLATA, Maryland. NPI 1700607835 is currently active in the NPPES registry. Verify at CMS.

Psychiatric/Mental Health Nurse Practitioner · LA PLATA, MD

Registration Details

NPI Number
1700607835
Provider Type
Individual
Gender
Male
NPI Issued
Oct 21, 2024 (1.7985402571209 yrs)
Last Updated
Feb 6, 2026
License
R173805 (MD)

Practice Information

Address
1014 WASHINGTON AVE
LA PLATA, MD, 206464228
Browse MD providers · Browse ZIP 20646
Phone
9175605145

Other Psychiatric/Mental Health Nurse Practitioner Providers in LA PLATA, MD

Name Credential NPI
DR. LAURA BEHM DNP, FNP-C, PMHNP-BC 1275903916
TOLULOPE ARAMIDE OGUNTOMI 1881221265
GBEMISOLA VICTORIA ADEBAYO 1588244255
MS. SABA RASTEGAR PMHNP 1578322178
RAHMOT IBIWUNMI RAJI 1609624469
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.