Healthcare Provider Details

I. General information

NPI: 1144592858
Provider Name (Legal Business Name): MONSURAT JOKE YUSUF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2012
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10111 MARTIN LUTHER KING JR HWY STE 101
BOWIE MD
20720-4231
US

IV. Provider business mailing address

7905 GREENBURY DR
GREENBELT MD
20770-3043
US

V. Phone/Fax

Practice location:
  • Phone: 202-704-2325
  • Fax:
Mailing address:
  • Phone: 202-704-2325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2026040311
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: