Individual provider · NPI-1

Jennifer Ekwutosi Adjara, NP

Nurse Practitioner · Albany, NY

NPI number1659645158

StatusActive

Last updated in NPPESJun 12, 2019

Details

NPI: 1659645158
Entity type: Individual (NPI-1)
Name: Mrs. Jennifer Ekwutosi Adjara
Credential: NP
Sex: Female
Sole proprietor: No
Enumeration date: Feb 29, 2012
Last updated: Jun 12, 2019

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363L00000X	Nurse Practitioner	305738	NY	Yes
363LG0600X	Nurse Practitioner, Gerontology	340820	NY

Other names

Jennifer Iwumune (Former Name)

Practice location

7 Southwoods Blvd
Albany, NY 12211

Phone 518-292-6000 · Fax 518-292-6087

Mailing address

7 Southwoods Blvd
Albany, NY 12211

Phone 518-292-6000 · Fax 518-292-6087

Other practice locations

47 New Scotland Ave
Mail Code 70
Albany, NY 12208-3412

Phone 518-262-5226 · Fax 518-262-6261

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