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NPI Code Detail

MEDICARE: OBIANUJU JUDITH OKONKWO

MEDICARE: OBIANUJU JUDITH OKONKWO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner2026021494VA

General Provider Information

NPI Number : 1306778592
Entity Type Code : Individual
Provider Name (Legal Business Name) : OBIANUJU JUDITH OKONKWO
Provider Business Mailing Address
First Line : 26317 WASHINGTON ST
Second Line :
City : NORTH DINWIDDIE
State : VA
Zip : 23803-2727
Country : US
Telephone Number : 804-524-7400
Fax Number :
Provider Business Practice Location Address
First Line : 26317 WASHINGTON ST
Second Line :
City : NORTH DINWIDDIE
State : VA
Zip : 23803-2727
Country : US
Telephone Number : 804-524-7400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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