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

Mavis Kisseadoo, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1366081887

Mavis Kisseadoo, PMHNP is a Psychiatric/Mental Health Nurse Practitioner in Columbia, Maryland. Licensed in Maryland. Registered with an NPI since 2020.

Licensed in
MD
In the registry since
2020
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

10208 Hickory Ridge Rd Apt 302
Columbia, MD 21044-4688
Phone: (667) 200-6144
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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 R205356 (MD)

Record details

NPI number1366081887
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedJanuary 1, 2020
Last updated in NPPESJanuary 1, 2020
Certification dateJanuary 1, 2020

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