MEDICARE: MR. JOSHUA KAMAU NJENGA NP

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	363LF0000X	Family Nurse Practitioner	2015027455	MO

General Provider Information

NPI Number	:	1871023002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSHUA KAMAU NJENGA NP

Provider Business Mailing Address
First Line	:	4412 CLARENCE AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63115-3108
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4412 CLARENCE AVENUE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63115
Country	:	US
Telephone Number	:	314-322-7147
Fax Number	:

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

Provider Enumeration Date	:	06/20/2017
Last Update Date	:	11/16/2025

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