Bourne Chidi Ajoku, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN 9307203 Issued in FL

Practice address

2303 Bell Shoals Rd
Brandon, FL 33511-6608

Phone

(662) 544-3852

NPI assigned

Nov 1, 2010

Last updated

May 1, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Sarah Lynett Ajoku Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1154621688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 BELL SHOALS RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116608",
            "telephone_number": "662-544-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 BELL SHOALS RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116608",
            "telephone_number": "662-544-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJOKU",
        "first_name": "BOURNE",
        "middle_name": "CHIDI",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-01",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN 9307203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "AJOKU",
            "middle_name": "LYNETT",
            "prefix": "MRS.",
            "credential": "LPN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Registered Nurse in Brandon, FL
• Providers in Brandon, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.