Individual provider · Type 1 NPI
Bryonna Douglas, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Bryans Road, MD
NPI number
1265175202
Active
Practice location
3024 Coriander Pl
Bryans Road, MD 20616-7048
Mailing address
8288 Tabor Ln
Fairfax Station, VA 22039-3057
Other practice locations
- 8288 Tabor Ln, Fairfax Station, VA 22039-3057 · (808) 722-2865
- 8040 Georgia Ave Ste 170, Silver Spring, MD 20910-4959 · (202) 360-4787
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 0001301512 (VA) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024185517 (VA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | R262900 (MD) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1265175202
Bryonna Douglas, PMHNP-BC's National Provider Identifier is 1265175202, issued on Apr 18, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bryans Road, MD. The record was last updated on Mar 27, 2025.