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

Mr. Clarence McNeil Johnson Jr., CRNP-PMH

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1740755594

Mr. Clarence McNeil Johnson Jr., CRNP-PMH is a Nurse Practitioner in Brandywine, Maryland. Qualified in 2018, 8 years ago. Practices with Greater Baden Medical Service Incorporated, a 35-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
8
Licensed in
MD
In the registry since
2018
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Practice location Address checks out

7450 Albert Rd Fl 2
Brandywine, MD 20613-3035
Phone: (301) 888-2233
Fax: (301) 888-9133
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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 AC002607 (MD)

Record details

NPI number1740755594
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP-PMH
Sole proprietorNo
NPI enumeratedOctober 9, 2018
Last updated in NPPESFebruary 17, 2023
Certification dateFebruary 17, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Greater Baden Medical Service Incorporated — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Brandywine