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Organization
HIS &HER MEDICAL AND MENTAL HEALTH SERVICES
Active
Organization
HIS &HER MEDICAL AND MENTAL HEALTH SERVICES
Active
Other names
MEDICAL & MENTAL HEALTH PROVIDER
Organization subpart
No
Provider details
NPI number
Authorized official
EFEMWONYI F JESUOROBO DNP, CRNP, FNP,PMHNP (OWNER OF ENTITY)
(240) 493-7847
Entity
Organization
Contact information
Practice address
9015 WOODYARD RD STE 111B, CLINTON, MD 20735-4209
(240) 493-7847
(240) 493-7327
Mailing address
9015 WOODYARD RD STE 111B, CLINTON, MD 20735-4209
(240) 493-7847
(240) 493-7327
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/30/2021
Last updated
07/31/2026
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