Provider Demographics
NPI:1427860352
Name:NKEMJU, COLLINS ASONG
Entity type:Individual
Prefix:MR
First Name:COLLINS
Middle Name:ASONG
Last Name:NKEMJU
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7405 ALBATROSS CT
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-4758
Mailing Address - Country:US
Mailing Address - Phone:240-687-2601
Mailing Address - Fax:
Practice Address - Street 1:7405 ALBATROSS CT
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-4758
Practice Address - Country:US
Practice Address - Phone:240-687-2601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-27
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA200004698374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide