MEDICARE: JODELLE NZOKOU

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	R224445	MD

General Provider Information

NPI Number	:	1396608972
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JODELLE NZOKOU

Provider Business Mailing Address
First Line	:	PO BOX 973
Second Line	:
City	:	WESTMINSTER
State	:	MD
Zip	:	21158-0973
Country	:	US
Telephone Number	:	443-487-6681
Fax Number	:	410-848-5629

Provider Business Practice Location Address
First Line	:	181 E MAIN ST STE 4
Second Line	:
City	:	WESTMINSTER
State	:	MD
Zip	:	21157-6195
Country	:	US
Telephone Number	:	443-487-6681
Fax Number	:	410-848-5629

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	05/27/2026

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Directions to “ JODELLE NZOKOU ” Practice Location

Language	Start Address	Practice Location

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