MEDICARE: JOETTA TOKPAH TOGBA

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	363LG0600X	Gerontology Nurse Practitioner	5023355	NC

General Provider Information

NPI Number	:	1982574406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOETTA TOKPAH TOGBA

Provider Business Mailing Address
First Line	:	1576 IVY MEADOW LN
Second Line	:
City	:	ZEBULON
State	:	NC
Zip	:	27597-5727
Country	:	US
Telephone Number	:	678-533-6300
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 S CHURCH ST STE 135
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27804-5721
Country	:	US
Telephone Number	:	678-533-6300
Fax Number	:

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

Provider Enumeration Date	:	11/10/2025
Last Update Date	:	11/11/2025

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Directions to “ JOETTA TOKPAH TOGBA ” Practice Location

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