Jennifer G Douglas, CRNP, PMHNP, FNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R250262 Issued in MD

Practice address

10055 Red Run Blvd Ste 200
Owings Mills, MD 21117-4867

Phone

(240) 345-1055

Fax

(240) 752-0849

NPI assigned

Feb 8, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Meritus Medical Center IncGroup PAC ID 7113811795, 730 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Meritus Medical Center Inc

  dba Meritus Palliative Care

  • Nurse Practitioner
  • Hagerstown, MD
  • NPI 1205176393
  Medicare reassignment Care Compare group NPD
• Wildflower Psychiatry, LLC

  dba Willow Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Owings Mills, MD
  • NPI 1376248609

  Family

  NPD Authorized official
• Brook Lane Behavioral Services, Inc.

  • Psychiatry Physician
  • Hagerstown, MD
  • NPI 1538647748
  Medicare reassignment
• Meritus Medical Center Inc

  dba Meritus Radiology

  • Diagnostic Radiology Physician
  • Hagerstown, MD
  • NPI 1184477911
  NPD
• Meritus Medical Center Inc

  dba Meritus Hospital Physicians

  • Hospitalist Physician
  • Hagerstown, MD
  • NPI 1548559248
  NPD
• Lee Side Wellness Associates, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mason, OH
  • NPI 1841731510
  NPD
• Brook Lane Health Services

  • Psychiatric Hospital
  • Hagerstown, MD
  • NPI 1558333138
  NPD (past)
• Brook Lane Health Services, Inc.

  • Psychiatric Hospital
  • Hagerstown, MD
  • NPI 1316918048
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1114559036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10055 RED RUN BLVD STE 200",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174867",
            "telephone_number": "240-345-1055",
            "fax_number": "240-752-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10055 RED RUN BLVD STE 200",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174867",
            "telephone_number": "240-345-1055",
            "fax_number": "240-752-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "JENNIFER",
        "middle_name": "G",
        "credential": "CRNP, PMHNP, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-08",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R250262",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R250262",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrey Doroshenko, DDS
• Mansi Dhananjay Doshi, PHARM.D
• Germaine Annick Doue
• Erin Joanne Dougherty, LCPC
• Douglas C. McCorkle M.D., P.a.
• Lauren Douville
• Ciniya Dower
• Charlein Johnneshia Downs
• Sidney Louis Downs, M.D.
• Barbara Doy, LAT, ATC

• Psychiatric/Mental Health Nurse Practitioner in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.