Provider Demographics
NPI:1043852023
Name:SESAY, HABIBATU KEMOH (PMHNP)
Entity type:Individual
Prefix:
First Name:HABIBATU
Middle Name:KEMOH
Last Name:SESAY
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 GRAVENHURST CT
Mailing Address - Street 2:
Mailing Address - City:NORTH POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20878-3448
Mailing Address - Country:US
Mailing Address - Phone:240-476-2106
Mailing Address - Fax:
Practice Address - Street 1:4 GRAVENHURST CT
Practice Address - Street 2:
Practice Address - City:NORTH POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20878-3448
Practice Address - Country:US
Practice Address - Phone:240-476-2106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-11
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR203765363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health