Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Peridot Primary Care, LLC

Organization Family Nurse Practitioner · NPI 1356957252

Peridot Primary Care, LLC is a Family Nurse Practitioner in Clarksburg, Maryland. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

23202 Brewers Tavern Way
Clarksburg, MD 20871-4391
Phone: (301) 215-2309
Fax: (855) 942-3275
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1356957252
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Princess Stephenson — Managing Member · (301) 298-9919
Other names True Vitality Consulting, Llc
NPI enumeratedSeptember 17, 2020
Last updated in NPPESJanuary 11, 2022
Certification dateJanuary 11, 2022
Mailing address23202 Brewers Tavern Way, Clarksburg, MD 20871-4391

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