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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1407480817

Mr. Sunny Besong Diffang, CRNP is a Nurse Practitioner in Randallstown, Maryland. Qualified in 2019, 7 years ago. Practices with Luminis Health Medical Group, LLC, a 549-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
7
Licensed in
MD
In the registry since
2020
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

3523 Corn Stream Rd
Randallstown, MD 21133-2442
Phone: (410) 528-3866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R202090 (MD)

Record details

NPI number1407480817
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorNo
NPI enumeratedFebruary 24, 2020
Last updated in NPPESFebruary 24, 2020
Certification dateFebruary 24, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Luminis Health Medical Group, Llc — 549 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Randallstown