Healthcare Provider Details

I. General information

NPI: 1427077825
Provider Name (Legal Business Name): MICHELLE LYNN FERRIN CRNP-PMH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2308 POPLAR RD
ESSEX MD
21221-6126
US

IV. Provider business mailing address

16901 YEOHO RD
SPARKS MD
21152-9510
US

V. Phone/Fax

Practice location:
  • Phone: 443-648-5995
  • Fax: 647-715-9805
Mailing address:
  • Phone: 443-465-4930
  • Fax: 647-715-9805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR114404
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: