Provider Demographics
NPI:1588215479
Name:FOLEM, JANET ACHANKENG
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:ACHANKENG
Last Name:FOLEM
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 1:7726 FINNS LN FL 2
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-1321
Mailing Address - Country:US
Mailing Address - Phone:240-486-6843
Mailing Address - Fax:240-828-8104
Practice Address - Street 1:7515 ANNAPOLIS RD STE 312
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20784-1740
Practice Address - Country:US
Practice Address - Phone:240-960-3371
Practice Address - Fax:240-770-4039
Is Sole Proprietor?:No
Enumeration Date:2019-09-23
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR212599363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDR212599OtherLICENSE
MDR212599OtherRN LICENSE