Individual
IFEOMA JULIET EZEIGWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 BEECHWOOD DR, TYLER, TX 75701-7735
(903) 593-1246
(903) 593-1246
Mailing address
601 BEECHWOOD DR, TYLER, TX 75701-7735
(903) 593-1246
(903) 593-1246
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP133917
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
AP133917
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP133917
TX
Other
Enumeration date
03/14/2018
Last updated
12/06/2023
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