Provider Demographics
NPI:1356698112
Name:EMEAGWALI, JOSEPHINE CHIBOGU (DNP FNP-BC, PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:JOSEPHINE
Middle Name:CHIBOGU
Last Name:EMEAGWALI
Suffix:
Gender:F
Credentials:DNP FNP-BC, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6475 NEW HAMPSHIRE AVE STE 430
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20783-3277
Mailing Address - Country:US
Mailing Address - Phone:240-670-8305
Mailing Address - Fax:240-670-8306
Practice Address - Street 1:6475 NEW HAMPSHIRE AVE STE 430
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20783-3277
Practice Address - Country:US
Practice Address - Phone:240-670-8305
Practice Address - Fax:240-670-8306
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-11
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN65139363LF0000X
MDR134072363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily