# ADAOMA EJIMBE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1508734757
- **Gender:** X
- **Credential:** PMHNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 764840 | NY | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 15842 | CT | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 26NJ15451400 | NJ | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | F407749 | NY | — |

## Other

- **Enumeration date:** 10/28/2025
- **Last updated:** 12/23/2025