Healthcare Provider Details

I. General information

NPI: 1841667474
Provider Name (Legal Business Name): DR. JENNIFER AKPUAKA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2015
Last Update Date: 08/31/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9420 LANHAM SEVERN RD
SEABROOK MD
20706-2642
US

IV. Provider business mailing address

9420 LANHAM SEVERN RD
SEABROOK MD
20706-2642
US

V. Phone/Fax

Practice location:
  • Phone: 301-577-5555
  • Fax:
Mailing address:
  • Phone: 301-577-5555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number23062
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH100001812
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: