Healthcare Provider Details

I. General information

NPI: 1891051025
Provider Name (Legal Business Name): SOLANGE FECHWI NJOKIKANG NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2012
Last Update Date: 03/30/2025
Certification Date: 03/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 FOXCROFT AVE STE 104
MARTINSBURG WV
25401-5302
US

IV. Provider business mailing address

12714 NELSON DR
HAGERSTOWN MD
21740-2288
US

V. Phone/Fax

Practice location:
  • Phone: 304-513-3495
  • Fax:
Mailing address:
  • Phone: 240-702-7936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR226318
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number118856
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: