# MWAJUMA DENISE TEAGUE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1528710795
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | RN270060 | GA | — |
| 207Q00000X | Family Medicine Physician | 11032445 | FL | Yes |
| 207Q00000X | Family Medicine Physician | RN270060 | GA | — |

## Other

- **Enumeration date:** 01/19/2022
- **Last updated:** 08/02/2024