Healthcare Provider Details

I. General information

NPI: 1588518567
Provider Name (Legal Business Name): EMMANUEL ATAKURO NJEI FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2026
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 1/2 CLIFTON AVE
BALTIMORE MD
21216-2502
US

IV. Provider business mailing address

41 KIRKCALDY LN
MIDDLETOWN DE
19709-8740
US

V. Phone/Fax

Practice location:
  • Phone: 443-835-2675
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: EMELDA NJEI
Title or Position: PRESIDENT
Credential:
Phone: 302-724-1181