Individual
EMMANUEL KOFI JACKSON NSIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
528 MORRIS AVE, BRONX, NY 10451-5509
(720) 561-0836
(888) 815-1877
Mailing address
983 UVALDA ST, AURORA, CO 80011-6663
(720) 561-0836
(888) 815-1877
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1622198
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F405279
NY
390200000X
Student in an Organized Health Care Education/Training Program
RN1622198
CO
Other
Enumeration date
06/06/2018
Last updated
11/05/2024
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