Individual
UJUNWA OKWUKAOGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
118 FRANKLIN STREET #3, LYNN, MA 01902
(781) 363-0058
Mailing address
328 BROADWAY STE 209, LYNN, MA 01904-2654
(781) 363-0058
(781) 842-0173
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2292056
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2292056
MA
Other
Enumeration date
04/14/2017
Last updated
02/21/2025
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