Provider Demographics
NPI:1730637588
Name:AKOH, JOSEPH AGBOR (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:AGBOR
Last Name:AKOH
Suffix:
Gender:M
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2882 MIDDLE ST
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55117-1411
Mailing Address - Country:US
Mailing Address - Phone:651-433-7207
Mailing Address - Fax:651-410-1502
Practice Address - Street 1:2882 MIDDLE ST
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55117-1411
Practice Address - Country:US
Practice Address - Phone:651-433-7207
Practice Address - Fax:651-410-1502
Is Sole Proprietor?:No
Enumeration Date:2016-09-21
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCNP 4727363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health