Jordan-Brangman, Enyonam

Jordan-Brangman, Enyonam is an individual health care provider with primary practice located at 10432 Balls Ford Rd Ste 300 , Manassas VA 20109-2517. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Addiction (Substance Use Disorder), Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Jordan-Brangman, Enyonam can be contacted via phone (571) 931-2533.

Contact Information

Primary practice address
10432 Balls Ford Rd Ste 300 Manassas VA 20109-2517
Phone: (571) 931-2533
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 0001191728 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 0024174109 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024174109 Virginia

Profile Details

NPI number 1114112604
LBN Legal business name Jordan-Brangman, Enyonam
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2007
Last updated Jan 15th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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