# UDUAK UKPONG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1679457402
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 10035036 | OR | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 238683 | AZ | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 408059 | NY | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 95381760 | CA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP70064601 | WA | — |

## Other

- **Enumeration date:** 08/04/2025
- **Last updated:** 07/31/2026