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Search › Maryland › Psychiatric/Mental Health Nurse Practitioner

Jose Revollo

NPI 1013553502 · on the registry since 2019 · sole proprietor

Practice

Address
703 Clamor Ct
Fort Washington, MD 20744
Phone
(201) 757-4005

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Also registered as
Registered Nurse
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland