Active NPI
Efemwonyi F Jesuorobo
Doing business as His & Her Medical and Mental Health
- Family Nurse Practitioner
- Oxon Hill, MD
National Provider Identifier
1306431168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- EFEMWONYI F JESUOROBO
- Doing business as
- His & Her Medical and Mental Health
- Practice address
- 6196 Oxon Hill Rd Ste 290
Oxon Hill, MD 20745-3141 - Phone
- (202) 368-6707
- NPI assigned
- Mar 3, 2021
- Last updated
- May 7, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Efemwonyi Frank Jesuorobo, FNP
- Title
- Director
- Phone
- (202) 368-6707
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | NU | ||
| Family Nurse Practitioner | 363LF0000X | NU | Primary | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU |
Addresses
Primary practice location
6196 Oxon Hill Rd Ste 290
Oxon Hill, MD 20745-3141
Mailing address
6196 Oxon Hill Rd Ste 290
Oxon Hill, MD 20745-3141
Phone (202) 368-6707
Other names 1
- HIS & HER MEDICAL AND MENTAL HEALTH
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620345600000",
"number": "1306431168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6196 OXON HILL RD STE 290",
"city": "OXON HILL",
"state": "MD",
"postal_code": "207453141",
"telephone_number": "202-368-6707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6196 OXON HILL RD STE 290",
"city": "OXON HILL",
"state": "MD",
"postal_code": "207453141",
"telephone_number": "202-368-6707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EFEMWONYI F JESUOROBO",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-03",
"last_updated": "2021-05-07",
"certification_date": "2021-05-07",
"status": "A",
"authorized_official_last_name": "JESUOROBO",
"authorized_official_first_name": "EFEMWONYI",
"authorized_official_middle_name": "FRANK",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "202-368-6707",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HIS & HER MEDICAL AND MENTAL HEALTH",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oxon Hill, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.