Healthcare Provider Details

I. General information

NPI: 1316701816
Provider Name (Legal Business Name): JUDE CHUKS NJOKU
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2024
Last Update Date: 02/08/2024
Certification Date: 02/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 GEORGIA AVENUE NW SUITE 5101
WASHINGTON DC
20060-0001
US

IV. Provider business mailing address

2041 GEORGIA AVENUE NW SUITE 5101
WASHINGTON DC
20060-0001
US

V. Phone/Fax

Practice location:
  • Phone: 202-865-6100
  • Fax: 202-865-4204
Mailing address:
  • Phone: 202-865-6100
  • Fax: 202-865-4204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberNP500016598
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: