Provider Demographics
NPI:1114808961
Name:DJOUNDA, HERMINE TUFE
Entity type:Individual
Prefix:
First Name:HERMINE
Middle Name:TUFE
Last Name:DJOUNDA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78 DRUMLIN HILL RD
Mailing Address - Street 2:
Mailing Address - City:BOLTON
Mailing Address - State:MA
Mailing Address - Zip Code:01740-2022
Mailing Address - Country:US
Mailing Address - Phone:978-398-4074
Mailing Address - Fax:
Practice Address - Street 1:78 DRUMLIN HILL RD
Practice Address - Street 2:
Practice Address - City:BOLTON
Practice Address - State:MA
Practice Address - Zip Code:01740-2022
Practice Address - Country:US
Practice Address - Phone:978-398-4074
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2331254163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Single Specialty