Healthcare Provider Details

I. General information

NPI: 1669399424
Provider Name (Legal Business Name): LOVELYN OJIMBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10632 LITTTLE PATUXENT PARKWAY, SUITE 249 249
COLUMBIA MD
21044
US

IV. Provider business mailing address

10632 LITTTLE PATUXENT PARKWAY, SUITE 249
COLUMBIA MD
21044
US

V. Phone/Fax

Practice location:
  • Phone: 410-772-0774
  • Fax:
Mailing address:
  • Phone: 410-772-0774
  • Fax: 410-772-0776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR224087
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: