Provider Demographics
NPI:1801421136
Name:NJUKU, PAULINE RUIRU (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:PAULINE
Middle Name:RUIRU
Last Name:NJUKU
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 1:20115 TURTLE BROOK LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-5481
Mailing Address - Country:US
Mailing Address - Phone:832-217-7893
Mailing Address - Fax:
Practice Address - Street 1:5614 W GRAND PKWY S STE 102
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-5820
Practice Address - Country:US
Practice Address - Phone:713-966-9505
Practice Address - Fax:832-756-9285
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-06
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP142416363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX424175404Medicaid