Individual
JESSINTA NGUNKENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
9430 ANNAPOLIS RD STE D, LANHAM, MD 20706-3030
(301) 377-4732
Mailing address
9430 ANNAPOLIS RD, LANHAM, MD 20706-3004
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1025199
DC
363LF0000X
Family Nurse Practitioner
Primary
R197237
MD
Other
Enumeration date
10/06/2014
Last updated
06/13/2022
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