Provider Demographics
NPI:1063119832
Name:AWUJOR, JOYCE CHINYERE
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:CHINYERE
Last Name:AWUJOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 S UNION AVE
Mailing Address - Street 2:
Mailing Address - City:HAVRE DE GRACE
Mailing Address - State:MD
Mailing Address - Zip Code:21078-3421
Mailing Address - Country:US
Mailing Address - Phone:443-739-2687
Mailing Address - Fax:443-526-6134
Practice Address - Street 1:611 S UNION AVE
Practice Address - Street 2:
Practice Address - City:HAVRE DE GRACE
Practice Address - State:MD
Practice Address - Zip Code:21078-3421
Practice Address - Country:US
Practice Address - Phone:443-739-2687
Practice Address - Fax:443-526-6134
Is Sole Proprietor?:No
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR158340363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health