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NPI Code Detail

MEDICARE: NNENNA NWOKEKA PMHNP-BC

MEDICARE:   NNENNA  NWOKEKA  PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner2025111940FL

General Provider Information

NPI Number : 1285588327
Entity Type Code : Individual
Provider Name (Legal Business Name) : NNENNA NWOKEKA PMHNP-BC
Provider Business Mailing Address
First Line : 25 N MARKET ST FL 1
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32202-2802
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 25 N MARKET ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32202-2802
Country : US
Telephone Number : 856-213-3022
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2026
Last Update Date : 02/25/2026

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Directions to “ NNENNA NWOKEKA PMHNP-BC” Practice Location

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