| Jmj Health Care Services Llc | |
|
12150 Annapolis Rd 205 Glenn Dale MD 20769-9183 | |
| (202) 361-8012 | |
| (301) 316-8276 |
| Full Name | Jmj Health Care Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 12150 Annapolis Rd, Glenn Dale, Maryland |
| Authorized Official Name and Position | James Fonge (DIRECTOR) |
| Authorized Official Contact | 2023618012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jmj Health Care Services Llc 12150 Annapolis Rd 205 Glenn Dale MD 20769-9183 Ph: (202) 361-8012 | Jmj Health Care Services Llc 12150 Annapolis Rd 205 Glenn Dale MD 20769-9183 Ph: (202) 361-8012 |
| NPI Number | 1780999706 |
|---|---|
| Provider Enumeration Date | 08/13/2010 |
| Last Update Date | 08/13/2010 |
| Medicare PECOS PAC ID | 1355596040 |
|---|---|
| Medicare Enrollment ID | O20130304000046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780999706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Evaristus A Nwulia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588759997 PECOS PAC ID: 6204938921 Enrollment ID: I20070227000711 |
| Provider Name | Janefrances C Ezimorah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104073303 PECOS PAC ID: 2668521634 Enrollment ID: I20090521000388 |
| Provider Name | Anyinke Atabong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316359771 PECOS PAC ID: 3476770488 Enrollment ID: I20140815001017 |
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