Ono Achale

Individual provider Active NPI Licensed Practical Nurse · Jessup, MD

NPI 1508529082 · NPPES record last updated Oct 20, 2021

Key facts

NPI
1508529082
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LP42785 (MD)
Practice address
2318 Terrapin Xing
Jessup, MD 20794-9830
Phone
(240) 533-1568
NPI assigned
Oct 20, 2021
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LP42785MDMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ray of Hope Healthcare LLC Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LP42785 MD Yes

Addresses

Primary practice location

2318 Terrapin Xing
Jessup, MD 20794-9830

Mailing address

2318 Terrapin Xing
Jessup, MD 20794-9830

Other providers in Jessup, MD

All providers in Jessup, MD · Licensed Practical Nurse in Maryland

Sources for this page

Verify at the official NPI Registry.