Healthcare Provider Details
I. General information
NPI: 1477489706
Provider Name (Legal Business Name): QUEEN CHINONYE ALAJEMBA PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/23/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4807 JONESTOWN RD STE 246
HARRISBURG PA
17109-1744
US
IV. Provider business mailing address
965 LOUCKS RD # 1074
YORK PA
17404-2201
US
V. Phone/Fax
- Phone: 717-831-1944
- Fax: 717-831-1955
- Phone: 717-831-1944
- Fax: 717-831-1955
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | SP036280 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: