Individual provider · Type 1 NPI
Jonathan Jame Wong, PMHNP-BC
Registered Nurse · Baltimore, MD
Practice location
3900 Loch Raven Blvd
Baltimore, MD 21218-2108
Mailing address
3021 Carlee Run Ct
Ellicott City, MD 21042-2158
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | R269240 (MD) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R269240 (MD) |
| Registered Nurse Primary | 163W00000X | 806394 (NY) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 405708 (NY) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1316577620
Jonathan Jame Wong, PMHNP-BC's National Provider Identifier is 1316577620, issued on Jan 26, 2020. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Baltimore, MD. The record was last updated on Jan 12, 2026.