Ijego Nwankwo
Nurse Practitioner - Psychiatric/Mental Health
1601 Elm St Ste 4360
Dallas
, Texas 75201-4701
Ijego Nwankwo
Nurse Practitioner - Psychiatric/Mental Health
1601 Elm St Ste 4360
Dallas
, Texas 75201-4701
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Ijego Nwankwo
- Po Box 850363
- Richardson, TX
- Zip : 75085-0363
- Phone :
Second Address
- Ijego Nwankwo
- 1601 Elm St Ste 4360
- Dallas, TX
- Zip : 75201-4701
- Phone : (415) 403-2156
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 1033715 | TX |
National Provider Identifier
| NPI | 1003496472 |
|---|---|
| Provider Name | Ijego Nwankwo |
| First Address | Richardson, TX 75085-0363 |
| Second Address | Dallas, TX 75201-4701 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/04/2021 |
| Last Update Date | 04/05/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.