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

Mr. Jason Tivade

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1912790650

Mr. Jason Tivade is a Psychiatric/Mental Health Registered Nurse in Bowie, Maryland. Licensed in Maryland. Registered with an NPI since 2025.

Licensed in
MD
In the registry since
2025

Practice location Address checks out

2905 Mitchellville Rd Ste 204
Bowie, MD 20716-3961
Phone: (301) 701-6965
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence R212283 (MD)

Record details

NPI number1912790650
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 26, 2025
Last updated in NPPESMay 26, 2025
Certification dateMay 26, 2025
Mailing address9810 Cottrell Ter, Silver Spring, MD 20903-1917

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