Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ghislaine Kenmegne Datouo Mogo

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1164064705

Ghislaine Kenmegne Datouo Mogo is a Nurse Practitioner in Washington, District of Columbia. Qualified in 2023, 3 years ago. Practices with Cope Community Services Inc, a 24-clinician group and accepts Medicare assignment. Licensed in District of Columbia.

Years since qualifying
3
Licensed in
DC
In the registry since
2019

Practice location Address checks out

4130 Hunt Pl NE
Washington, DC 20019-3565
Phone: (202) 679-0620
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN1028252 (DC)

Record details

NPI number1164064705
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 15, 2019
Last updated in NPPESOctober 15, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Cope Community Services Inc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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