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

Nodine Juliet Boothe

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1730883554

Nodine Juliet Boothe is a Nurse Practitioner in Columbia, Maryland. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Maryland.

Years since qualifying
4
Licensed in
MD
In the registry since
2023
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Practice location Address checks out

5618 Oakland Mills Rd
Columbia, MD 21045-3218
Phone: (410) 564-8133
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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 R180386 (MD)

Record details

NPI number1730883554
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 27, 2023
Last updated in NPPESMarch 27, 2023
Certification dateMarch 27, 2023
Mailing address5618 Oakland Mills Rd, Columbia, MD 21045-3218

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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