Healthcare Provider Details

I. General information

NPI: 1184479701
Provider Name (Legal Business Name): ARI OASIS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2024
Last Update Date: 04/18/2024
Certification Date: 04/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 N CHESTER ST
BALTIMORE MD
21205-1525
US

IV. Provider business mailing address

815 N CHESTER ST
BALTIMORE MD
21205-1525
US

V. Phone/Fax

Practice location:
  • Phone: 313-743-7383
  • Fax:
Mailing address:
  • Phone: 313-743-7383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER LAWRENCE
Title or Position: OWNER
Credential: PMHNP-BC
Phone: 313-743-7383