Individual
JENNY NKIRUKA NWANKWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
7515 FALCON CREST DR # 200, REDMOND, OR 97756-5014
(541) 904-5216
(541) 527-4347
Mailing address
7515 FALCON CREST DR # 200, REDMOND, OR 97756-5014
(541) 904-5216
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10035572
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP61594237
WA
Other
Enumeration date
08/12/2024
Last updated
04/21/2025
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