Joann Nneka Ezeibe, RN, BSN
Nurse Practitioner, Psych/Mental Health in Carson, CA. Individual provider (NPI-1).
NPI number1437382652
StatusActive
Last updated in NPPESFeb 19, 2024
Details
- NPI
- 1437382652
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Joann Nneka Ezeibe
- Credential
- RN, BSN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 4, 2009
- Certification date
- Feb 19, 2024
- Last updated
- Feb 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 95029134 | CA | Yes |
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | 95176020 | CA | |
| 164X00000X | Licensed Vocational Nurse | VN226937 | CA |
Other names
- Joann Nneka Ezeibe (Professional Name)
Practice location
18202 Coltman AveCarson, CA 90746-1736
Phone 310-658-7879
Mailing address
18202 Coltman AveCarson, CA 90746-1736
Phone 310-658-7879
Other practice locations
15500 S Budlong Pl Apt 10
Gardena, CA 90247-4065
Gardena, CA 90247-4065
Phone 310-658-7879
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