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

Justine Mize Fortkiewicz

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1164383071

Justine Mize Fortkiewicz is a Psychiatric/Mental Health Nurse Practitioner in Columbia, Maryland. Practices as a sole proprietor and works from 2 locations. Licensed in Maryland.

Licensed in
MD
In the registry since
2025

Practice location Address checks out

9256 Bendix Rd Ste 200B
Columbia, MD 21045-1848
Phone: (443) 542-0773
Show map & directions

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

Additional practice locations (1)

  • 3416 Olandwood Ct Ste 201, Olney, MD 20832-1373 — (443) 542-0773

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R189061 (MD)

Record details

NPI number1164383071
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 20, 2025
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026

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