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NPI Code Detail

MEDICARE: JOY OBIANUJU ANEKE

MEDICARE: JOY OBIANUJU ANEKE
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
1364SP0808XPsychiatric/Mental Health Clinical Nurse Specialist2020090152TX
2363LP0808XPsychiatric/Mental Health Nurse Practitioner2020090152TX

General Provider Information

NPI Number : 1366036832
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOY OBIANUJU ANEKE
Provider Business Mailing Address
First Line : 14318 KINGSTON FALLS LN
Second Line :
City : HUMBLE
State : TX
Zip : 77396-1932
Country : US
Telephone Number : 281-608-9172
Fax Number :
Provider Business Practice Location Address
First Line : 201 KINGWOOD MEDICAL DR STE A450
Second Line :
City : KINGWOOD
State : TX
Zip : 77339-6027
Country : US
Telephone Number : 832-701-0283
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2021
Last Update Date : 02/25/2021

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Directions to “ JOY OBIANUJU ANEKE ” Practice Location

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