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
6196 OXON HILL RD STE 290, OXON HILL, MD 20745-3141
(240) 493-7847
Mailing address
6196 OXON HILL RD STE 290, OXON HILL, MD 20745-3141
(240) 493-7847
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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