Individual
JUSTUS ONWONG'A NYAMWANCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
176 PALISADE AVE, JERSEY CITY, NJ 07306-1121
(201) 795-8200
Mailing address
176 PALISADE AVE, JERSEY CITY, NJ 07306-1121
(201) 795-8200
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ15074200
NJ
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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