Dwayne Omar Ennis
PMHNP-BC | Nurse Practitioner - Psych/Mental Health
1014 Washington Ave, La Plata
Maryland, 20646-4228
917-560-5145
Dwayne Omar Ennis is a La Plata, Maryland based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Dwayne Omar Ennis is R173805 for Psych/Mental Health in Maryland. His current practice location is 1014 Washington Ave, La Plata. Patients can reach him at 917-560-5145. Dwayne Omar Ennis is PMHNP-BC with specialization in Psych/Mental Health and his NPI number (Unique professional ID assigned by NPPES) is 1700607835.
Dwayne Omar Ennis provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Dwayne Omar Ennis speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Dwayne Omar Ennis |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Male |
| Credentials: | PMHNP-BC |
| Practice Address: | 1014 Washington Ave, La Plata,
Maryland, 20646-4228 |
| Phone: | 917-560-5145 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1700607835 |
| NPI Enumeration Date: | 21 Oct, 2024 |
| NPI Last Update On: | 12 Oct, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dwayne Omar Ennis are as mentioned below.
| License Number | Specialization | State | Status | |
| R173805 | Psych/Mental Health | Maryland | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Dwayne Omar Ennis
1014 Washington Ave,
La Plata, Maryland |
| Zip: | 20646-4228 |
Patients can reach Dwayne Omar Ennis at
1014 Washington Ave, La Plata, Maryland or can
call to book an appointment on 917-560-5145.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.