Provider Demographics
NPI:1326678186
Name:NJARAMBA, NELLY (CNS)
Entity Type:Individual
Prefix:
First Name:NELLY
Middle Name:
Last Name:NJARAMBA
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 E MEMORIAL RD
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73114-2229
Mailing Address - Country:US
Mailing Address - Phone:405-777-4726
Mailing Address - Fax:405-359-5481
Practice Address - Street 1:510 E MEMORIAL RD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73114-2229
Practice Address - Country:US
Practice Address - Phone:405-777-4726
Practice Address - Fax:405-359-5481
Is Sole Proprietor?:No
Enumeration Date:2020-01-21
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK108569364SG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SG0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontology