Provider Demographics
NPI:1336605815
Name:ISOKE, NJEMILE (RN)
Entity Type:Individual
Prefix:MS
First Name:NJEMILE
Middle Name:
Last Name:ISOKE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4720 STATE RD APT 2A
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-4325
Mailing Address - Country:US
Mailing Address - Phone:267-629-0973
Mailing Address - Fax:
Practice Address - Street 1:2102 N WANAMAKER ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131-3023
Practice Address - Country:US
Practice Address - Phone:267-716-2528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-20
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA673217163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency