Individual
MABEL N. NWACHUKWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1011 COLLEGE AVE, JACKSONVILLE, TX 75766-3307
(903) 586-9000
Mailing address
4218 CAP ROCK CT, BALCH SPRINGS, TX 75180-3629
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP136119
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP136119
TEXAS BOARD OF NURSING
TX
Enumeration date
05/25/2018
Last updated
06/16/2018
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