Individual
JOY AMOGE NNEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP, RN
Contact information
Practice address
7707 AUSTIN RD, STOCKTON, CA 95215-8312
(209) 467-2596
(209) 297-7034
Mailing address
1401 21ST ST, SACRAMENTO, CA 95811-5226
(209) 910-5235
(209) 297-7034
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
95145653
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95028940
CA
Other
Enumeration date
11/17/2023
Last updated
03/03/2025
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