Provider Demographics
NPI:1649541939
Name:IBOJIE, JULIET OKENEMER (REGISTERED NURSE)
Entity type:Individual
Prefix:MRS
First Name:JULIET
Middle Name:OKENEMER
Last Name:IBOJIE
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116-35 225TH STREET
Mailing Address - Street 2:
Mailing Address - City:CAMBRIA HEIGHT
Mailing Address - State:NY
Mailing Address - Zip Code:11411
Mailing Address - Country:US
Mailing Address - Phone:718-470-2742
Mailing Address - Fax:718-470-2742
Practice Address - Street 1:116-35 225TH STREET
Practice Address - Street 2:JOURNEY TO WELLNESS CENTER
Practice Address - City:CAMBRIA HEIGHT
Practice Address - State:NY
Practice Address - Zip Code:11411
Practice Address - Country:US
Practice Address - Phone:718-470-2742
Practice Address - Fax:718-470-2742
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-19
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY495951163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse