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NPI 1407797863 · live from the CMS NPI Registry

Safuratu Ajayi Porter, CRNP, FNP-C

Nurse Practitioner, Family in Washington, DC. National Provider Identifier 1407797863, active.

NPI record

NPI1407797863 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Family 363LF0000X
Practice location1000 Mount Olivet Rd Ne, Washington, DC 20002
Practice phone202-576-7624
Mailing address12222 Guinevere Rd, Glenn Dale, MD 20769
EnumeratedApril 1, 2026
Last updatedApril 1, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Family primary363LF0000XNP500340003 (DC)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.