Individual provider · Type 1 NPI

Dwayne Omar Ennis, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · La Plata, MD

NPI number 1700607835 Active

Practice location

1014 Washington Ave
La Plata, MD 20646-4228

Other practice locations

  • 8040 Georgia Ave Ste 170, Silver Spring, MD 20910-4959 · (202) 360-4787

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XR173805 (MD)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

7 other providers at this address

Other psychiatric/mental health nurse practitioner providers in La Plata

See all in La Plata →

About NPI 1700607835

Dwayne Omar Ennis, PMHNP-BC's National Provider Identifier is 1700607835, issued on Oct 21, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in La Plata, MD. The record was last updated on Feb 6, 2026.