His &Her Medical And Mental Health Services
Nurse Practitioner, Psych/Mental Health in Clinton, MD. Organization (NPI-2).
Details
- NPI
- 1154094548
- Entity type
- Organization (NPI-2)
- Legal business name
- His &Her Medical And Mental Health Services
- Organization subpart
- No
- Enumeration date
- Jul 30, 2021
- Certification date
- Jul 31, 2026
- Last updated
- Jul 31, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- 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 | – | – | Yes |
Practice location
9015 Woodyard Rd Ste 111bClinton, MD 20735-4209
Phone 240-493-7847 · Fax 240-493-7327
Mailing address
9015 Woodyard Rd Ste 111bClinton, MD 20735-4209
Phone 240-493-7847 · Fax 240-493-7327
Authorized official
Efemwonyi F Jesuorobo
Owner Of Entity
2404937847
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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All 28 Psychiatric/Mental Health Nurse Practitioner providers in Clinton · All 1,325 providers in Clinton
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