Provider Demographics
NPI:1730781196
Name:TSAMOH, JANE (PMHNP)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:
Last Name:TSAMOH
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:EKEU
Other - Last Name:BEMBUH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1907 SAHARA LN
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-2754
Mailing Address - Country:US
Mailing Address - Phone:240-441-8273
Mailing Address - Fax:
Practice Address - Street 1:4401 E WEST HWY # 504
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4523
Practice Address - Country:US
Practice Address - Phone:240-513-3093
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-11
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR191999363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health