| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JEREMIAH SOKO | 1841077237 | 2023-09-11 |
Jeremiah Soko is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1841077237. Registration indicates Jeremiah Soko is a provider of access to mental health/behavioral health providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Psych/Mental Health, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Psych/Mental Health, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Mr. Jeremiah Soko PMHNP |
| Practice Office Address | 5415 CRESTON AVE BALTIMORE, MD US |
| Practice Office Telephone | 4436768616 |
| Mailing Address | 5415 CRESTON AVE BALTIMORE, MD 212142713 US |
| Business Telephone | 4436768616 |
| Code | Practice | License No State |
|---|---|---|
| 363LP0808X PRIMARY | Access to Mental Health/Behavioral Health Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Psych/Mental Health All Other Specialties & Provider Types Nurse Practitioner Psych/Mental Health Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | R180816
MD |