Individual
ELIZABETH UMEMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
539 W COMMERCE ST STE 8343, DALLAS, TX 75208-1953
(469) 328-3904
Mailing address
3090 OUTLET PKWY APT 220, GRAND PRAIRIE, TX 75052-7242
(469) 328-3904
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
M0135049
OK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
135049
OK
Other
Enumeration date
07/15/2019
Last updated
11/12/2025
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