Nnekae Kneyetta Edwards
Rehabilitation Practitioner in San Jose, CA. Individual provider (NPI-1).
NPI number1124556089
StatusActive
Last updated in NPPESJul 14, 2025
Details
- NPI
- 1124556089
- Entity type
- Individual (NPI-1)
- Name
- Nnekae Kneyetta Edwards
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 23, 2017
- Certification date
- Jul 14, 2025
- Last updated
- Jul 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
2001 The AlamedaSan Jose, CA 95126-1136
Phone 408-261-7777 · Fax 408-259-2273
Mailing address
2001 The AlamedaSan Jose, CA 95126-1136
Phone 408-261-7777 · Fax 408-259-2273
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