Healthcare Provider Details

I. General information

NPI: 1023935434
Provider Name (Legal Business Name): TERRA'S HEALTH & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3004 HOWARD PARK AVE
GWYNN OAK MD
21207-6714
US

IV. Provider business mailing address

3004 HOWARD PARK AVE
GWYNN OAK MD
21207-6714
US

V. Phone/Fax

Practice location:
  • Phone: 443-803-0774
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SHATERRA PLUMMER
Title or Position: NURSE PRACTITIONER
Credential: DNP, FNP-C
Phone: 443-803-0774