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

MR. JASON TIVADE

Active

Child & Adolescent Psychiatric Nurse · BOWIE, MD

Registration Details

NPI Number
1912790650
Provider Type
Individual
Gender
Male
NPI Issued
May 26, 2025 (0.9449283559415 yrs)
Last Updated
May 26, 2025
License
R212283 (MD)

Practice Information

Address
2905 MITCHELLVILLE RD STE 204
BOWIE, MD, 207163961
Browse MD providers · Browse ZIP 20716
Phone
3017016965
Primary Specialty
Child & Adolescent Psychiatric Nurse
163WP0808X

Other Child & Adolescent Psychiatric Nurse Providers in BOWIE, MD

Name Credential NPI
JAMES BABIO CRNP/PMHNP 1962787432
DURREL CHE HHA 1669748828
CATHERINE NNEDI NWOSU 1497431985
DAVID TAKU MORFAW 1033997457
CONCETTA WEAH 1093572091
ELIZABETH LYNN MACKESSY-LLOYD 1306726054
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.