Provider Demographics
NPI:1972962819
Name:IWUCHUKWU, JOY NNEKA (FNP)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:NNEKA
Last Name:IWUCHUKWU
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:NNEKA
Other - Last Name:OSAKWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC, MSN, RN
Mailing Address - Street 1:1201 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:DELANO
Mailing Address - State:CA
Mailing Address - Zip Code:93215-2203
Mailing Address - Country:US
Mailing Address - Phone:661-725-2579
Mailing Address - Fax:
Practice Address - Street 1:1201 JEFFERSON STREET
Practice Address - Street 2:
Practice Address - City:DELANO
Practice Address - State:CA
Practice Address - Zip Code:93215
Practice Address - Country:US
Practice Address - Phone:661-725-2579
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-21
Last Update Date:2018-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA769784363LF0000X
CA95004228363LF0000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily