Healthcare Provider Details

I. General information

NPI: 1972802890
Provider Name (Legal Business Name): TEMITOPE S WILLIAMS MS IN FNP; PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2011
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 SCOTT ADAM RD STE 204
COCKEYSVILLE MD
21030-3295
US

IV. Provider business mailing address

4320 BROOKSIDE OAKS ROAD
OWINGS MILLS MD
21117-5169
US

V. Phone/Fax

Practice location:
  • Phone: 410-521-8000
  • Fax:
Mailing address:
  • Phone: 410-521-8000
  • Fax: 410-655-5826

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR176820
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR176820
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: