Provider Demographics
NPI:1952020596
Name:NWOKEM, JUSTINA
Entity type:Individual
Prefix:MRS
First Name:JUSTINA
Middle Name:
Last Name:NWOKEM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8114 CLIFFSIDE TERRACE CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-3060
Mailing Address - Country:US
Mailing Address - Phone:713-391-7549
Mailing Address - Fax:
Practice Address - Street 1:8114 CLIFFSIDE TERRACE CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-3060
Practice Address - Country:US
Practice Address - Phone:713-391-7549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-25
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program