IndividualActive
Jason Tivade
NPI 1912790650 · Psychiatric/Mental Health Registered Nurse · Bowie, MD
Provider details
- NPI number
- 1912790650
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- R212283 (MD)
Specialties & taxonomies
Nursing Service Providers
Practice location
2905 Mitchellville Rd Ste 204
Bowie, MD 20716-3961
Phone: (301) 701-6965
Approximate (ZIP-level) locationGet directions
Mailing address
9810 Cottrell Ter
Silver Spring, MD 20903-1917
Registry dates
- Enumerated
- 2025-05-26
- Last updated
- 2025-05-26
- Certified
- 2025-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.