# HIS &HER MEDICAL AND MENTAL HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MEDICAL & MENTAL HEALTH PROVIDER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154094548
- **Authorized official:** EFEMWONYI F JESUOROBO DNP, CRNP, FNP,PMHNP (OWNER OF ENTITY)
- **Authorized official phone:** (240) 493-7847

## Contact information

- **Practice address:** 9015 WOODYARD RD STE 111B, CLINTON, MD 20735-4209
- **Practice address phone:** (240) 493-7847
- **Practice address fax:** (240) 493-7327
- **Mailing address:** 9015 WOODYARD RD STE 111B, CLINTON, MD 20735-4209
- **Mailing address phone:** (240) 493-7847
- **Mailing address fax:** (240) 493-7327

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/30/2021
- **Last updated:** 07/31/2026
