Joan Ife Udejiofor | Washington, DC • PECOS Search

Joan Ife Udejiofor

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2240 M St NW, Washington, DC 20037-1415

(202) 296-9877 (443) 545-9777

PECOS Enrollment

Based on the most recent information from CMS, provider Joan Ife Udejiofor does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 4:18 PM.

Profile Details

Provider ID
1386127942
Provider Type
Individual
Full Name
Udejiofor, Joan Ife
Title
Mrs.
Credential
FNP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/10/2018
Last Updated
3/4/2021

Contact Information

Practice Location

2240 M St NW, Washington, DC 20037-1415

Unlisted Fax

Mailing Location

13205 Global St, Bowie, MD 20720-3856

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License F08180305 Maryland