Provider Demographics
NPI:1235666595
Name:NJEAKO, CHINONYEM ASHLEY (NP)
Entity Type:Individual
Prefix:
First Name:CHINONYEM
Middle Name:ASHLEY
Last Name:NJEAKO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:CHIONONYEM
Other - Middle Name:CHIOMA
Other - Last Name:NJEAKO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7373 ARDMORE ST APT 1247
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-4216
Mailing Address - Country:US
Mailing Address - Phone:832-896-5646
Mailing Address - Fax:
Practice Address - Street 1:4645 SWEETWATER BLVD STE 200
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-3016
Practice Address - Country:US
Practice Address - Phone:281-565-1112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-17
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP133764363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily