| Zainab Koroma, | |
|
7100 Baltimore Ave, College Park, MD 20740-3627 | |
| (202) 269-6000 | |
| Not Available |
| Full Name | Zainab Koroma |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 7100 Baltimore Ave, College Park, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154987923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP029319 (Pennsylvania) | Primary |
| Entity Name | Wellness Source Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780031724 PECOS PAC ID: 2668751454 Enrollment ID: O20161118000825 |
| Mailing Address | Practice Location Address |
|---|---|
| Zainab Koroma, 2609 Natalie Dr, York, PA 17402-7514 Ph: (410) 630-6933 | Zainab Koroma, 7100 Baltimore Ave, College Park, MD 20740-3627 Ph: (202) 269-6000 |
Jessica De Grasse, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6201 Greenbelt Road, Suite L1, College Park, MD 20740 Phone: 301-346-1900 | |
Dr. Deborah Ekighalo Okonofua, FNP, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7100 Baltimore Ave Ste 510, College Park, MD 20740 Phone: 240-467-5739 Fax: 240-467-5795 | |
Grace Okhuereigbe, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7100 Baltimore Ave Ste 510, College Park, MD 20740 Phone: 301-875-5511 | |
Dr. Adedayo Adekemisola Ekundayo, PHD CRNP CCRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7309 Baltimore Ave Ste 220, College Park, MD 20740 Phone: 301-892-6296 Fax: 301-746-0551 | |
Christianah T Olufade, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4920 Niagara Rd Ste 107, College Park, MD 20740 Phone: 301-755-7685 | |
Jonathan Adam Correia, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9658 Baltimore Ave Ste 420, College Park, MD 20740 Phone: 301-220-1930 Fax: 301-220-1906 |