Healthcare Provider Details

I. General information

NPI: 1033850995
Provider Name (Legal Business Name): REGINE JOSIE FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2022
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12006 VEIRS MILL RD
SILVER SPRING MD
20906-4513
US

IV. Provider business mailing address

12006 VEIRS MILL RD
SILVER SPRING MD
20906-4513
US

V. Phone/Fax

Practice location:
  • Phone: 301-471-8846
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR252926
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: