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NPI Code Detail

MEDICARE: YVETTE LEDJO

MEDICARE:   YVETTE  LEDJO
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
1363L00000XNurse PractitionerR187467MD
2363LP0808XPsychiatric/Mental Health Nurse PractitionerR187467MD
3363LF0000XFamily Nurse PractitionerR187467MD

General Provider Information

NPI Number : 1972954139
Entity Type Code : Individual
Provider Name (Legal Business Name) : YVETTE LEDJO
Provider Business Mailing Address
First Line : 12 INDIAN GRASS CT
Second Line :
City : GERMANTOWN
State : MD
Zip : 20874-2930
Country : US
Telephone Number : 240-644-5570
Fax Number :
Provider Business Practice Location Address
First Line : 12 INDIAN GRASS CT
Second Line :
City : GERMANTOWN
State : MD
Zip : 20874-2930
Country : US
Telephone Number : 240-644-5570
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2016
Last Update Date : 05/28/2026

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Directions to “ YVETTE LEDJO ” Practice Location

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