Individual provider · Type 1 NPI
Adaoma Ejimbe, PMHNP
Psychiatric/Mental Health Nurse Practitioner · New York, NY
NPI number
1508734757
Active
Practice location
462 1st Ave
New York, NY 10016-9196
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 15842 (CT) |
| Registered Nurse | 163W00000X | 764840 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 26NJ15451400 (NJ) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F407749 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1508734757
Adaoma Ejimbe, PMHNP's National Provider Identifier is 1508734757, issued on Oct 28, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New York, NY. The record was last updated on Dec 23, 2025.