Healthcare Provider Details

I. General information

NPI: 1043967458
Provider Name (Legal Business Name): ENJOY HEALTHCARE AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2022
Last Update Date: 06/05/2024
Certification Date: 06/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7220 N LINDBERGH BLVD STE 200
HAZELWOOD MO
63042-2019
US

IV. Provider business mailing address

1033 CORPORATE SQUARE DR STE 126
SAINT LOUIS MO
63132-2928
US

V. Phone/Fax

Practice location:
  • Phone: 314-249-6100
  • Fax: 314-227-1483
Mailing address:
  • Phone: 314-922-3128
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JOY UGONMA EKENGA
Title or Position: OWNER
Credential: NP-C
Phone: 314-922-3128