MEDICARE: PROF. MICHELLE LYNN FERRIN CRNP-PMH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	R114404	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	N58782	OTHER	MD	CDS

General Provider Information

NPI Number	:	1427077825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PROF. MICHELLE LYNN FERRIN CRNP-PMH

Provider Business Mailing Address
First Line	:	16901 YEOHO RD
Second Line	:
City	:	SPARKS
State	:	MD
Zip	:	21152-9510
Country	:	US
Telephone Number	:	443-465-4930
Fax Number	:	647-715-9805

Provider Business Practice Location Address
First Line	:	2308 POPLAR RD
Second Line	:
City	:	ESSEX
State	:	MD
Zip	:	21221-6126
Country	:	US
Telephone Number	:	443-648-5995
Fax Number	:	647-715-9805

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	10/21/2025

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