Individual
JENNIFER NNEKA IRUKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP STUDENT
Contact information
Practice address
140 DECATUR ST SE, ATLANTA, GA 30303-3204
(404) 514-4890
Mailing address
789 ANDORA CT SW, MARIETTA, GA 30064-2481
(404) 514-4890
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN290095
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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