Provider Demographics
NPI:1992946008
Name:ORJI, PRISCILLA NNENNA (FNP)
Entity type:Individual
Prefix:MS
First Name:PRISCILLA
Middle Name:NNENNA
Last Name:ORJI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:796 THOMAS S. BOYLAND STREET
Mailing Address - Street 2:APT. 2
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212
Mailing Address - Country:US
Mailing Address - Phone:347-951-4301
Mailing Address - Fax:
Practice Address - Street 1:796 SARATOGA AVE STE A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-4475
Practice Address - Country:US
Practice Address - Phone:347-951-4301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-19
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261Q00000X
NY343738363LF0000X
NY606055163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty