IndividualActive
Jackie Wanjiru-Nwuzor, CRNP-PMH
NPI 1992455117 · Psychiatric/Mental Health Clinical Nurse Specialist · New York, NY
Provider details
- NPI number
- 1992455117
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNP-PMH
- Sex
- Female
- Sole proprietor
- Yes
- License
- 404056 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
330 W 58th St Apt 12h
New York, NY 10019-1834
Phone: (443) 768-5820
Approximate (ZIP-level) locationGet directions
Mailing address
330 W 58th St Apt 12h
New York, NY 10019-1834
Registry dates
- Enumerated
- 2022-03-29
- Last updated
- 2022-12-22
- Certified
- 2022-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.