Individual
IJEGO NWANKWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1601 ELM ST STE 4360, DALLAS, TX 75201-4701
(415) 403-2156
Mailing address
PO BOX 850363, RICHARDSON, TX 75085-0363
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1033715
TX
Other
Enumeration date
04/10/2021
Last updated
05/04/2021
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