Provider Demographics
NPI:1285488262
Name:NJOKU, JUDITH (NURSING)
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:
Last Name:NJOKU
Suffix:
Gender:F
Credentials:NURSING
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:422 RIVER ST APT 20
Mailing Address - Street 2:
Mailing Address - City:MATTAPAN
Mailing Address - State:MA
Mailing Address - Zip Code:02126-2292
Mailing Address - Country:US
Mailing Address - Phone:617-717-9148
Mailing Address - Fax:
Practice Address - Street 1:422 RIVER ST APT 20
Practice Address - Street 2:
Practice Address - City:MATTAPAN
Practice Address - State:MA
Practice Address - Zip Code:02126-2292
Practice Address - Country:US
Practice Address - Phone:617-717-9148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2268343163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral PracticeGroup - Single Specialty