Individual
JIJI JOHN NINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
901 BRICK MANOR CIR, SILVER SPRING, MD 20905-3818
(301) 661-9833
Mailing address
1150 VARNUM ST NE, WASHINGTON, DC 20017-2104
(202) 421-5843
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN52568
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020475700
—
DC
Enumeration date
03/03/2010
Last updated
03/03/2010
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