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General NPI Number Information
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NPI Number | 1003474842
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Entity Type | Individual
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Provider Name | PRISCILLA COOMSON DNP, CRNP, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/05/2019
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 5457 TWIN KNOLLS RD STE 300
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City | COLUMBIA
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State | MD
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Zip | 21045-3296
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Country | US
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Telephone | 202-644-0408
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Fax |
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Provider Business Mailing Address
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Address Line | 5457 TWIN KNOLLS RD STE 300
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City | COLUMBIA
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State | MD
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Zip | 21045-3296
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Country | US
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Telephone | 202-644-0408
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | RN1026138
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R199629
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License Number State | MD
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