Provider Demographics
NPI:1609373992
Name:EKWUEME, JOY ADAKU (FNP)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:ADAKU
Last Name:EKWUEME
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ALIEF GERIATRICS ASSOCIATES, PA
Mailing Address - Street 2:1801 N. LOOP WEST, SUITE 40
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008
Mailing Address - Country:US
Mailing Address - Phone:713-416-2229
Mailing Address - Fax:
Practice Address - Street 1:MAIN STREET MEDICAL CLINIC
Practice Address - Street 2:1120 MEDICAL PLAZA DR, SUITE 335
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77380
Practice Address - Country:US
Practice Address - Phone:281-528-4102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-12
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX729822363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily