Provider Demographics
NPI:1134005416
Name:NJOROGE, JUDY (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:JUDY
Middle Name:
Last Name:NJOROGE
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1141 HIDDEN HILLS DR
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-5788
Mailing Address - Country:US
Mailing Address - Phone:919-597-9948
Mailing Address - Fax:
Practice Address - Street 1:1141 HIDDEN HILLS DR
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-5788
Practice Address - Country:US
Practice Address - Phone:919-597-9948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251611363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health