Healthcare Provider Details

I. General information

NPI: 1710287495
Provider Name (Legal Business Name): CHINMA NJOKU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2010
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8908 ELM AVE
BOWIE MD
20720-3612
US

IV. Provider business mailing address

8908 ELM AVE
BOWIE MD
20720-3612
US

V. Phone/Fax

Practice location:
  • Phone: 301-262-8110
  • Fax:
Mailing address:
  • Phone: 301-385-8517
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR172215
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR172215
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: