Healthcare Provider Details
I. General information
NPI: 1790516169
Provider Name (Legal Business Name): NJOY HEALTH GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/08/2024
Last Update Date: 04/04/2025
Certification Date: 04/04/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6505 216TH ST SW STE 100
MOUNTLAKE TERRACE WA
98043-2089
US
IV. Provider business mailing address
100 N HOWARD ST # 6221
SPOKANE WA
99201-0508
US
V. Phone/Fax
- Phone: 425-678-6463
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JANE
EGBUFOAMA
Title or Position: OWNER
Credential:
Phone: 770-256-1890