Provider Demographics
NPI:1467920439
Name:ADJEI, NAA DJORMOR ADJORKOR (LPN)
Entity Type:Individual
Prefix:
First Name:NAA DJORMOR
Middle Name:ADJORKOR
Last Name:ADJEI
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6168 HUCKLEBERRY LN
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TWP
Mailing Address - State:OH
Mailing Address - Zip Code:45011-9392
Mailing Address - Country:US
Mailing Address - Phone:513-704-9872
Mailing Address - Fax:
Practice Address - Street 1:6168 HUCKLEBERRY LN
Practice Address - Street 2:
Practice Address - City:LIBERTY TWP
Practice Address - State:OH
Practice Address - Zip Code:45011-9392
Practice Address - Country:US
Practice Address - Phone:513-704-9872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-08
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH180756164X00000X, 164W00000X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
No164X00000XNursing Service ProvidersLicensed Vocational Nurse
No171M00000XOther Service ProvidersCase Manager/Care Coordinator