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Individual

AJIKELE NWANKWO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1111 W ADOUE ST, ALVIN, TX 77511-2718
(281) 824-1480
Mailing address
412 CEDAR LAKE DR, LEAGUE CITY, TX 77573-0884
(972) 781-8659

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1032178
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1032178
TX

Other

Enumeration date
07/20/2021
Last updated
05/22/2024
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