MEDICARE: MRS. NGOZI NWOBI DNP, APN, 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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	26NJ00264700	NJ

General Provider Information

NPI Number	:	1518294404
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NGOZI NWOBI DNP, APN, PMHNP-BC

Provider Business Mailing Address
First Line	:	PO BOX 1031
Second Line	:
City	:	JACKSON
State	:	NJ
Zip	:	08527
Country	:	US
Telephone Number	:	732-477-1020
Fax Number	:	732-714-6633

Provider Business Practice Location Address
First Line	:	2911 ROUTE 88 STE 4
Second Line	:
City	:	POINT PLEASANT BORO
State	:	NJ
Zip	:	08742-2871
Country	:	US
Telephone Number	:	732-477-1020
Fax Number	:	732-930-5782

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/12/2009
Last Update Date	:	07/21/2022

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