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General NPI Number Information
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NPI Number | 1235767146
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Entity Type | Organization
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Legal Business Name | NNENNA NP IN FAMILY HEALTH PRACTICE PLLC
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Dates
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Enumeration Date | 03/28/2020
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 796 SARATOGA AVE STE A
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City | BROOKLYN
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State | NY
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Zip | 11212-4475
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Country | US
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Telephone | 347-365-9779
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Fax | 347-365-4230
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Provider Business Mailing Address
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Address Line | 796 THOMAS S BOYLAND ST
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City | BROOKLYN
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State | NY
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Zip | 11212-4433
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Country | US
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Telephone | 347-951-4301
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Fax | 347-240-0529
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Authorized Official
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Title or Position | CEO
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Name | PRISCILLA NNENNA ORJI
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Credential | FNP
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Telephone | 347-951-4301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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