Provider Demographics
NPI:1912595745
Name:OJEJE-ISAGBA, JOYCE (APRN)
Entity Type:Individual
Prefix:MISS
First Name:JOYCE
Middle Name:
Last Name:OJEJE-ISAGBA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36548 GRAND ISLAND OAKS CIR
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32735-9644
Mailing Address - Country:US
Mailing Address - Phone:352-446-6315
Mailing Address - Fax:
Practice Address - Street 1:1205 DR MARTIN L KING JR WAY
Practice Address - Street 2:
Practice Address - City:HAINES CITY
Practice Address - State:FL
Practice Address - Zip Code:33844-3490
Practice Address - Country:US
Practice Address - Phone:352-446-6315
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-07
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10200055363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily