Provider Demographics
NPI:1750998308
Name:NKANSAH, JOSEPHINE ABENA (RN)
Entity type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:ABENA
Last Name:NKANSAH
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 1:3338 FORT INDEPENDENCE ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-4502
Mailing Address - Country:US
Mailing Address - Phone:631-480-4819
Mailing Address - Fax:
Practice Address - Street 1:667 LESTER ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-6705
Practice Address - Country:US
Practice Address - Phone:347-978-6178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-28
Last Update Date:2024-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY353737363LF0000X
NY794978163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily