Provider Demographics
NPI:1083176804
Name:DJIKIMI, FLORENCE TCHETGNA (NP-C)
Entity Type:Individual
Prefix:
First Name:FLORENCE
Middle Name:TCHETGNA
Last Name:DJIKIMI
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19612 MUSSER CT
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-6247
Mailing Address - Country:US
Mailing Address - Phone:240-351-2951
Mailing Address - Fax:
Practice Address - Street 1:19612 MUSSER CT
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-6247
Practice Address - Country:US
Practice Address - Phone:240-351-2951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-01
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR203677363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily