Individual provider · Type 1 NPI
Chantal Nyefen Fokum, CRNP
Adult Health Nurse Practitioner · Huntingtown, MD
NPI number
1558026542
Active
Practice location
1512 Larkspur Ct
Huntingtown, MD 20639-2314
Mailing address
2 University Plz Ste 204
Hackensack, NJ 07601-6211
Other practice locations
- 39 V St NE, Washington, DC 20002-1329 · (551) 295-8223
- 962 Wayne Ave Ste 250, Silver Spring, MD 20910-4433 · (551) 295-8223
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | R162268 (MD) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | R162268 (MD) |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1558026542
Chantal Nyefen Fokum, CRNP's National Provider Identifier is 1558026542, issued on Nov 3, 2021. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Huntingtown, MD. The record was last updated on Sep 12, 2025.