Individual
MS. EVELYN EBERE UKADIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
12801 KEYSTONE DR, BALCH SPRINGS, TX 75180
(469) 878-6318
(214) 772-6226
Mailing address
1105 E 32ND ST, JOPLIN, MO 64804-2879
(417) 347-7600
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2022014834
MO
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
801108670
TX
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
10/01/2009
Last updated
09/06/2022
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