Individual
JUSTINA IFEOMA AMALU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
1350 N WESTMORELAND RD, DALLAS, TX 75211-1654
(214) 330-0036
Mailing address
1345 RIVER BEND DR STE 200, DALLAS, TX 75247-6945
(214) 743-1200
(214) 630-3469
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
668512
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP119944
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307289402
—
TX
05
—
307289403
—
TX
01
—
8512NH
BCBS
TX
Enumeration date
01/12/2011
Last updated
12/08/2025
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