Provider Demographics
NPI:1275322349
Name:NANA NJIKE, DESTER KEVIN
Entity type:Individual
Prefix:
First Name:DESTER
Middle Name:KEVIN
Last Name:NANA NJIKE
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 1:8627 ANNAPOLIS RD APT 2
Mailing Address - Street 2:
Mailing Address - City:NEW CARROLLTON
Mailing Address - State:MD
Mailing Address - Zip Code:20784-3108
Mailing Address - Country:US
Mailing Address - Phone:240-705-0921
Mailing Address - Fax:
Practice Address - Street 1:8627 ANNAPOLIS RD APT 2
Practice Address - Street 2:
Practice Address - City:NEW CARROLLTON
Practice Address - State:MD
Practice Address - Zip Code:20784-3108
Practice Address - Country:US
Practice Address - Phone:240-705-0921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator