Healthcare Provider Details

I. General information

NPI: 1902676331
Provider Name (Legal Business Name): JANE W. NJOROGE NP, CWS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2024
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8109 LAGUNA BROOK WAY
ELK GROVE CA
95758-8040
US

IV. Provider business mailing address

8109 LAGUNA BROOK WAY
ELK GROVE CA
95758-8040
US

V. Phone/Fax

Practice location:
  • Phone: 443-824-3964
  • Fax:
Mailing address:
  • Phone: 443-824-3964
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number95030102
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: