Healthcare Provider Details

I. General information

NPI: 1144754763
Provider Name (Legal Business Name): LINDA NJOKU FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2017
Last Update Date: 12/21/2022
Certification Date: 12/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20151 NORDHOFF ST STE B
CHATSWORTH CA
91311-6215
US

IV. Provider business mailing address

11888 BARTLETT AVE
ADELANTO CA
92301-1709
US

V. Phone/Fax

Practice location:
  • Phone: 760-951-7778
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP95005858
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberNP95005858
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: