Healthcare Provider Details

I. General information

NPI: 1740148741
Provider Name (Legal Business Name): ERNESTINE HUGHES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2026
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

576 OLD TOWN MALL
BALTIMORE MD
21202-4190
US

IV. Provider business mailing address

576 OLD TOWN MALL
BALTIMORE MD
21202-4190
US

V. Phone/Fax

Practice location:
  • Phone: 443-571-7611
  • Fax:
Mailing address:
  • Phone: 443-571-7611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR224959
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: