# NEUROPSYCHIATRIC MEDICINE CLINIC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053627182
- **Authorized official:** DR. JOSHUA E NNANJI MD (OWNER)
- **Authorized official phone:** (319) 217-2566

## Contact information

- **Practice address:** 511 S 3RD ST, CLINTON, IA 52732-4357
- **Practice address phone:** (319) 217-2566
- **Mailing address:** PO BOX 321, CLINTON, IA 52733-0321
- **Mailing address phone:** (319) 217-2566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 27692 | IA | Yes |

## Other

- **Enumeration date:** 08/26/2010
- **Last updated:** 08/26/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 27692 | IOWA LICENSE | ID |