Provider Demographics
NPI:1124322672
Name:NJITA, HONORINE NGESEH (DNP, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:HONORINE
Middle Name:NGESEH
Last Name:NJITA
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:44777 SALTZ RD
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-2982
Mailing Address - Country:US
Mailing Address - Phone:313-529-1267
Mailing Address - Fax:
Practice Address - Street 1:14507 WOODWARD AVE
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:MI
Practice Address - Zip Code:48203-2905
Practice Address - Country:US
Practice Address - Phone:313-306-5496
Practice Address - Fax:313-751-8102
Is Sole Proprietor?:No
Enumeration Date:2010-12-26
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704287541363LP2300X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care