NPI | 1013363670 |
---|---|
Professional Name | JESSE OKONIGBO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R201977) |
Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: MD R201977) |
Enumeration Date | 2016-05-12 |
Last Update Date | 2023-10-30 |