Enyonam Jordan-Brangman, NP
Nurse Practitioner, Psych/Mental Health in Ashburn, VA. Individual provider (NPI-1).
NPI number1114112604
StatusActive
Last updated in NPPESJan 29, 2026
Details
- NPI
- 1114112604
- Entity type
- Individual (NPI-1)
- Name
- Enyonam Jordan-Brangman
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 8, 2007
- Certification date
- Jan 29, 2026
- Last updated
- Jan 29, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 0024174109 | VA | Yes |
| 363LA2200X | Nurse Practitioner, Adult Health | 0024174109 | VA | |
| 163WA0400X | Registered Nurse, Addiction (Substance Use Disorder) | 0001191728 | VA |
Practice location
20130 Lakeview Center Plz Ste 400Ashburn, VA 20147-5905
Phone 804-207-6737
Mailing address
42234 Highbank PlAldie, VA 20105-5725
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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