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
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.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.