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NPI Code Detail

MEDICARE: MRS. JEANNE ABLA DOSSOU

MEDICARE: MRS. JEANNE ABLA DOSSOU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseR200531MD
2164X00000XLicensed Vocational Nurse90354DC
3363LP0808XPsychiatric/Mental Health Nurse PractitionerR200531MD

General Provider Information

NPI Number : 1144573346
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JEANNE ABLA DOSSOU
Provider Business Mailing Address
First Line : 6475 NEW HAMPSHIRE AVE STE 504F
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20783-3277
Country : US
Telephone Number : 301-560-1352
Fax Number :
Provider Business Practice Location Address
First Line : 6475 NEW HAMPSHIRE AVE STE 504F
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20783-3277
Country : US
Telephone Number : 301-560-1352
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2012
Last Update Date : 02/05/2024

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Directions to “ MRS. JEANNE ABLA DOSSOU ” Practice Location

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