Healthcare Provider Details

I. General information

NPI: 1194503441
Provider Name (Legal Business Name): NJOKI CROWL APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2023
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 GRAHAM AVE
BROOKLYN NY
11206-4017
US

IV. Provider business mailing address

1317 EDGEWATER DR STE 4514
ORLANDO FL
32804-6350
US

V. Phone/Fax

Practice location:
  • Phone: 646-604-8120
  • Fax:
Mailing address:
  • Phone: 689-306-5199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11028694
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF352923
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: