Provider Demographics
NPI:1285752865
Name:EKE, JOY NNEKA (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:NNEKA
Last Name:EKE
Suffix:
Gender:F
Credentials:PMHNP-BC
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1513 UNION AVE STE 2500
Mailing Address - Street 2:
Mailing Address - City:MOBERLY
Mailing Address - State:MO
Mailing Address - Zip Code:65270-9412
Mailing Address - Country:US
Mailing Address - Phone:660-372-1313
Mailing Address - Fax:660-372-1339
Practice Address - Street 1:5604 NE ANTIOCH RD
Practice Address - Street 2:
Practice Address - City:GLADSTONE
Practice Address - State:MO
Practice Address - Zip Code:64119-2327
Practice Address - Country:US
Practice Address - Phone:660-372-1313
Practice Address - Fax:660-372-1339
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2022-10-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS53-45794-092363LP0808X
MO2021029690363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS362E321Medicare ID - Type Unspecified