Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKSON NJI FONLON TANIFORM NGWA
Active Sole ProprietorJACKSON NJI FONLON TANIFORM NGWA is a Community Health Worker healthcare provider located in CAPITOL HEIGHTS, Maryland. NPI 1467264515 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · CAPITOL HEIGHTS, MD
Registration Details
- NPI Number
- 1467264515
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 24, 2025 (1.5486379246541 yrs)
- Last Updated
- Jan 27, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
5221 CAPITOL HEIGHTSCAPITOL HEIGHTS, MD, 20743Browse MD providers · Browse ZIP 20743
- Phone
- 9134942143
- Primary Specialty
-
Community Health Worker
172V00000X
- Additional Specialty
- Community Health Worker
Other Community Health Worker Providers in CAPITOL HEIGHTS, MD
| Name | Credential | NPI |
|---|---|---|
| KAYODE OGUNBODE | — | 1043572183 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.