Healthcare Provider Details

I. General information

NPI: 1992245559
Provider Name (Legal Business Name): NURSE PRACTITIONER ON CALL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2017
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 N CHARLES ST STE 808
BALTIMORE MD
21201-5999
US

IV. Provider business mailing address

1800 N CHARLES ST STE 808
BALTIMORE MD
21201-5999
US

V. Phone/Fax

Practice location:
  • Phone: 240-898-1810
  • Fax: 240-493-8657
Mailing address:
  • Phone: 240-898-1810
  • Fax: 240-493-8657

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: KELVINDA KAMARA
Title or Position: PMHNP-BC, FNP-BC PROVIDER
Credential: CRNP
Phone: 240-898-1810