Individual provider · Type 1 NPI

Ijeoma Anne Mgboji, NP

Nurse Practitioner · La Plata, MD

NPI number 1699649459 Active

Practice location

5 Garrett Ave
La Plata, MD 20646-5960

Mailing address

955 Hall Station Dr
Bowie, MD 20721-6008

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR272089 (MD)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1699649459

Ijeoma Anne Mgboji, NP's National Provider Identifier is 1699649459, issued on Oct 3, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in La Plata, MD. The record was last updated on Oct 3, 2025.