Freetown Family Clinic LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

FREETOWN FAMILY CLINIC LLC

Practice address

100 Owings CT Ste 8
Reisterstown, MD 21136-3045

Phone

(443) 653-0459

Fax

(410) 702-7470

NPI assigned

Nov 15, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gibrilla SannohNPI 1528786126

Title

Medical Director

Phone

(443) 653-0459

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gibrilla Mustapha Sannoh, NP

  • Family Nurse Practitioner
  • Gwynn Oak, MD
  • NPI 1528786126
  Medicare reassignment NPD Authorized official
• Linda Nkeiruka Ukwu, CRNP

  • Family Nurse Practitioner
  • Reisterstown, MD
  • NPI 1982444279
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1763164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763164800000",
    "number": "1093675613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SHASTA CIR APT F",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173720",
            "telephone_number": "443-653-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OWINGS CT STE 8",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211363045",
            "telephone_number": "443-653-0459",
            "fax_number": "410-702-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREETOWN FAMILY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-15",
        "last_updated": "2025-11-15",
        "certification_date": "2025-11-15",
        "status": "A",
        "authorized_official_last_name": "SANNOH",
        "authorized_official_first_name": "GIBRILLA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "443-653-0459"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Nurse Practitioner in Reisterstown, MD
• Providers in Reisterstown, MD by specialty
• Primary Care Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.