Organization Active NPI

Efemwonyi F Jesuorobo

Doing business as His & Her Medical and Mental Health

  • Family Nurse Practitioner
  • Oxon Hill, MD
National Provider Identifier
1306431168
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.