NPI 1467264515

Jackson Nji Fonlon Taniform Ngwa

Practitioner Community Health Worker Capitol Heights, MD

Practice location

Address: 5221 Capitol Heights, Capitol Heights, MD 20743
Phone: (913) 494-2143

Registered specialties (2)

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Maryland →

Case Manager/Care Coordinator

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1467264515
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jan 2025
Record last updated: 27 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.