Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jude Igboanusi

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1770112807

Jude Igboanusi is a Student in an Organized Health Care Education/Training Program in Fargo, North Dakota. Works from 2 locations. Licensed in North Dakota.

Licensed in
ND
In the registry since
2020
Specialties on file
2

Practice location Address checks out

5225 23rd Ave S
Fargo, ND 58104-7927
Phone: (701) 417-2575
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 45 Reade Pl, Poughkeepsie, NY 12601-3947 — (845) 790-2085

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 19682 (ND)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1770112807
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 1, 2020
Last updated in NPPESJuly 28, 2023
Certification dateJuly 28, 2023
Mailing addressPo Box 5074, Sioux Falls, SD 57117-5074

Other providers in Fargo