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

Mr. Immanuel Van Slyke Joseph, RN

Individual provider General Practice Registered Nurse · NPI 1932975638

Mr. Immanuel Van Slyke Joseph, RN is a General Practice Registered Nurse in Laurel, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2023
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

8811 Sumner Grove Dr
Laurel, MD 20708-3533
Phone: (240) 355-3266
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Registered Nurse (primary) Taxonomy 163WG0000X · Licence R180947 (MD)

Record details

NPI number1932975638
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedDecember 4, 2023
Last updated in NPPESDecember 4, 2023
Certification dateDecember 4, 2023

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