Healthcare Provider Details

I. General information

NPI: 1396164158
Provider Name (Legal Business Name): JOYCE NJUGUNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2014
Last Update Date: 05/28/2020
Certification Date: 05/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 E 24TH ST UNIT OFFICE53
KANSAS CITY MO
64108-2776
US

IV. Provider business mailing address

6000 LAMAR AVE
MISSION KS
66202-3299
US

V. Phone/Fax

Practice location:
  • Phone: 816-404-3710
  • Fax: 816-404-3611
Mailing address:
  • Phone: 913-826-4200
  • Fax: 913-826-1589

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number110787
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number79080
License Number StateKS
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2019043528
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: