Individual provider · Type 1 NPI

Jason Grunder

Psychiatric/Mental Health Nurse Practitioner · Baltimore, MD

NPI number 1861604431 Active

Practice location

1101 N Point Blvd Ste 131
Baltimore, MD 21224-3417

Call (410) 508-0722 Map

Mailing address

10440 Little Patuxent Pkwy Ste 800
Columbia, MD 21044-3569

Specialties and licenses

TaxonomyCodeLicense
Community Health Registered Nurse 163WC1500XR145701 (MD)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X2025000569 (MD)

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

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About NPI 1861604431

Jason Grunder's National Provider Identifier is 1861604431, issued on May 4, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Baltimore, MD. The record was last updated on May 6, 2025.