MEDICARE: JULIET CHINWE NNAJI RN

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	163W00000X	Registered Nurse	R052559	SD
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP70056536	WA

General Provider Information

NPI Number	:	1962091942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIET CHINWE NNAJI RN

Provider Business Mailing Address
First Line	:	2222 ISAACS AVE APT I303
Second Line	:
City	:	WALLA WALLA
State	:	WA
Zip	:	99362-2390
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2222 ISAACS AVE APT I303
Second Line	:
City	:	WALLA WALLA
State	:	WA
Zip	:	99362-2390
Country	:	US
Telephone Number	:	626-455-8126
Fax Number	:

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

Provider Enumeration Date	:	01/13/2021
Last Update Date	:	04/14/2026

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