Kenya Deray Countee-Johnson, PMHNP
Kenya Deray Countee-Johnson, PMHNP is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2022, 4 years ago. Practices with Toller Enterprises, LLC, a 63-clinician group and accepts Medicare assignment. Licensed in Maryland.
- Years since qualifying
- 4
- Licensed in
- MD
- In the registry since
- 2022
What do these letters mean?
- PMHNP — Psychiatric-Mental Health Nurse Practitioner
- A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.
Practice location Address checks out
2401 W Belvedere AveBaltimore, MD 21215-5216
Phone: (410) 601-8424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence R155914 (MD) |
|---|
Record details
| NPI number | 1972210821 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PMHNP |
| Sole proprietor | Yes |
| NPI enumerated | October 31, 2022 |
| Last updated in NPPES | October 31, 2022 |
| Certification date | October 27, 2022 |
| Mailing address | 11 Kwanzan St, Taneytown, MD 21787-2144 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Toller Enterprises, Llc — 63 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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