Healthcare Provider Details

I. General information

NPI: 1801677612
Provider Name (Legal Business Name): JCP GLOBAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2023
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9015 WOODYARD RD STE 111
CLINTON MD
20735-4226
US

IV. Provider business mailing address

2403 WASHINGTON OVERLOOK DR
FORT WASHINGTON MD
20744-1454
US

V. Phone/Fax

Practice location:
  • Phone: 202-792-6558
  • Fax:
Mailing address:
  • Phone: 202-792-6558
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: STELLA N OKEKE
Title or Position: OWNER
Credential: NP
Phone: 202-792-6558