Provider Demographics
NPI:1295580124
Name:NJANKWE, JULIUS NKWONJE
Entity type:Individual
Prefix:
First Name:JULIUS
Middle Name:NKWONJE
Last Name:NJANKWE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30914 BEECHNUT ST
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48186-5092
Mailing Address - Country:US
Mailing Address - Phone:313-778-9911
Mailing Address - Fax:
Practice Address - Street 1:30914 BEECHNUT ST
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48186-5092
Practice Address - Country:US
Practice Address - Phone:313-778-9911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704401394163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical