Provider Demographics
NPI:1962846428
Name:NJOKU, DONNA JANICE
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:JANICE
Last Name:NJOKU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12624 TROTWOOD CT
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-6304
Mailing Address - Country:US
Mailing Address - Phone:240-645-9070
Mailing Address - Fax:
Practice Address - Street 1:12624 TROTWOOD CT
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-6304
Practice Address - Country:US
Practice Address - Phone:240-645-9070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-26
Last Update Date:2013-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR3322251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health