Healthcare Provider Details

I. General information

NPI: 1790276988
Provider Name (Legal Business Name): JAMES PERRITT NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2018
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

517 BENFIELD RD STE 100
SEVERNA PARK MD
21146-2527
US

IV. Provider business mailing address

328 BENFIELD RD
SEVERNA PARK MD
21146-2730
US

V. Phone/Fax

Practice location:
  • Phone: 410-402-3043
  • Fax: 410-824-5240
Mailing address:
  • Phone: 410-402-3043
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR174143
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: