JUSTINA CHRISTINA OKOUGBO

Address: 1242 12th St Ne Washington D.c., Washington, DC 20018
Phone: 2022696600

JUSTINA CHRISTINA OKOUGBO (NPI# 1851910293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851910293
Entity Type Individual
Full Name JUSTINA CHRISTINA OKOUGBO
Credential MSN-FNP BC, RN-BC
Practice Address 1242 12th St Ne Washington D.c.
Washington
DC 20018
Mailing Address 8003 Mandan Rd Apt 302
Greenbelt
MD 20770-2852
Practice Telephone 2022696600
Practice Fax Number 2404675795
Mailing Telephone 2022518334
Enumeration Date 2020-04-15
Last Update Date 2020-04-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
R208765 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1242 12TH ST NE WASHINGTON D.C.
City WASHINGTON
State DC
Zip Code 20018

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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Competitor

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City WASHINGTON
Zip Code 20018

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.