MEDICARE: AKUA AMPONSAH-ADJEI PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	0001254244	VA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	0024185198	VA

General Provider Information

NPI Number	:	1821719469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AKUA AMPONSAH-ADJEI PMHNP-BC

Provider Business Mailing Address
First Line	:	392 GARRISONVILLE RD STE 210B
Second Line	:
City	:	STAFFORD
State	:	VA
Zip	:	22554-1576
Country	:	US
Telephone Number	:	540-930-4063
Fax Number	:	540-930-4066

Provider Business Practice Location Address
First Line	:	392 GARRISONVILLE RD STE 210B
Second Line	:
City	:	STAFFORD
State	:	VA
Zip	:	22554-1576
Country	:	US
Telephone Number	:	540-930-4063
Fax Number	:	540-930-4066

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2022
Last Update Date	:	10/31/2025

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