JOY AMOGE NNEBE PMHNP RN NPI 1205601507

NPI Information

  • NPI: 1205601507
  • Provider Name: JOY AMOGE NNEBE, PMHNP, RN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7707 AUSTIN RD
    STOCKTON, CA
    ZIP 95215
  • Phone: (209) 467-2596

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NPI Details

Joy Amoge Nnebe, PMHNP, RN is a psychiatric/mental health nurse practitioner in Stockton, CA. Joy Amoge Nnebe, PMHNP, RN NPI is 1205601507. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7707 AUSTIN RD
STOCKTON, CA
ZIP 95215-312
Phone: (209) 467-2596
Fax: (209) 297-7034

The NPI 1205601507 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/17/2023 and was last updated on 3/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0808XRegistered NursePsychiatric/Mental Health95145653CALIFORNIANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health95028940CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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