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Individual
UCHE JESSICA MBAKA
Active
Individual
UCHE JESSICA MBAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
764032
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
392542201
—
TX
01
—
392542202
CSHCN
TX
01
—
8KK199
BCBS
TX
Enumeration date
08/23/2018
Last updated
08/26/2026
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