Jesinta Vefonge, | |
14502 Greenview Dr Ste 16, Laurel, MD 20708-3287 | |
(443) 629-6703 | |
Not Available |
Full Name | Jesinta Vefonge |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 14502 Greenview Dr Ste 16, Laurel, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851053896 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R187730 (Maryland) | Primary |
Entity Name | Salus Health Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285244004 PECOS PAC ID: 8123436540 Enrollment ID: O20210422002298 |
Mailing Address | Practice Location Address |
---|---|
Jesinta Vefonge, 14502 Greenview Dr Ste 16, Laurel, MD 20708-3287 Ph: (443) 629-6703 | Jesinta Vefonge, 14502 Greenview Dr Ste 16, Laurel, MD 20708-3287 Ph: (443) 629-6703 |
Judith Tangi, CRNP-PMH Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8125 Mallard Shore Dr, Laurel, MD 20724 Phone: 240-838-4012 | |
Ms. Gloria Asiamah Fosu, RN, MSN, PMHMP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14502 Greenview Dr Suit 455, Laurel, MD 20708 Phone: 240-752-4513 | |
Basil E Fomanka, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14201 Oxford Dr, Laurel, MD 20707 Phone: 443-520-8138 | |
Andria Pryce, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9201 Fairlane Pl, Laurel, MD 20708 Phone: 240-701-2838 | |
Mrs. Bodil Lynn Morris, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13801 Belle Chasse Blvd, Unit 211, Laurel, MD 20707 Phone: 407-232-5062 | |
Ms. Florence A Nwana, CRNP-PMH Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13639 Baltimore Ave, Laurel, MD 20707 Phone: 301-604-4830 Fax: 301-604-4929 | |
Making Mpaka, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16305 Gales Ct, Laurel, MD 20707 Phone: 301-404-0726 |