Individual
SOPHONIE MIRSHAMA JEAN BAPTISTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP, FNP-BC
Contact information
Practice address
10770 COLUMBIA PIKE STE 300, SILVER SPRING, MD 20901-4439
(240) 663-5467
(301) 517-9414
Mailing address
5100 E VIRGINIA BEACH BLVD, NORFOLK, VA 23502-3413
(757) 261-6475
(855) 939-7173
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
TPAN3581
FL
363LF0000X
Family Nurse Practitioner
0024187951
VA
363LF0000X
Family Nurse Practitioner
Primary
AC004748
MD
363LF0000X
Family Nurse Practitioner
F350847
NY
Other
Enumeration date
11/01/2022
Last updated
08/24/2025
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