Provider Demographics
NPI:1679150460
Name:NANA DJOMO, ARNOLD MANDELA (DNP)
Entity type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:MANDELA
Last Name:NANA DJOMO
Suffix:
Gender:M
Credentials:DNP
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Mailing Address - Street 1:220 CAMPUS BLVD STE 320
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2889
Mailing Address - Country:US
Mailing Address - Phone:540-536-5100
Mailing Address - Fax:540-536-0235
Practice Address - Street 1:160 MERCHANT ST STE 100
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22603-4772
Practice Address - Country:US
Practice Address - Phone:540-536-5560
Practice Address - Fax:540-536-5561
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-26
Last Update Date:2024-10-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0024190910363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily