Individual
MRS. JOVITA CHINENYE IKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP-FAMILY
Contact information
Practice address
12359 GEORGIA AVE, SILVER SPRING, MD 20906-3605
(301) 942-2300
Mailing address
721 COFFREN PL, UPPER MARLBORO, MD 20774-8561
(240) 245-3535
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R123782
MD
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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