Provider Demographics
NPI:1952025215
Name:SARPONG, GABRIELLE AKUA (RN)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:AKUA
Last Name:SARPONG
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:16025 EAGLE ROOST CT
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-4353
Mailing Address - Country:US
Mailing Address - Phone:703-730-0302
Mailing Address - Fax:703-730-0300
Practice Address - Street 1:5893 ANTHONY DR
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-3619
Practice Address - Country:US
Practice Address - Phone:703-730-0302
Practice Address - Fax:703-730-0300
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-30
Last Update Date:2025-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA24193461363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health