Individual
SHONGERWI CHEKENYERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 W TERRELL AVE, FORT WORTH, TX 76104-3243
(817) 702-3100
(817) 702-4847
Mailing address
1708 BARDFIELD AVE, GARLAND, TX 75041-4921
(817) 703-8313
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
954707
TX
2084P0800X
Psychiatry Physician
1130132
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1130132
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1130132
BOARD OF NURSING LICENSE
TX
Enumeration date
07/05/2022
Last updated
08/01/2023
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