Individual
IJEOMA IKEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6200 W PARKER RD, PLANO, TX 75093-8185
(864) 529-1674
Mailing address
6200 W PARKER RD, PLANO, TX 75093-8185
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
1012540
TX
363LF0000X
Family Nurse Practitioner
1012540
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1012540
TX
Other
Enumeration date
07/27/2022
Last updated
06/06/2023
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