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

Ijeoma Anne Mgboji, NP

Individual provider Nurse Practitioner · NPI 1699649459

Ijeoma Anne Mgboji, NP is a Nurse Practitioner in LA Plata, Maryland. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Maryland.

Years since qualifying
4
Licensed in
MD
In the registry since
2025
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

5 Garrett Ave
LA Plata, MD 20646-5960
Phone: (301) 609-4000
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R272089 (MD)

Record details

NPI number1699649459
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedOctober 3, 2025
Last updated in NPPESOctober 3, 2025
Certification dateOctober 3, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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