Individual
IJEOMA UNINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4364 WESTERN CENTER BLVD UNIT 5095, FORT WORTH, TX 76137-2043
(682) 443-3170
Mailing address
4364 WESTERN CENTER BLVD UNIT 5095, FORT WORTH, TX 76137-2043
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
889260
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1130237
TX
Other
Enumeration date
09/14/2023
Last updated
06/10/2025
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