Individual
MRS. GERTRUDE N NWOKORIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC. BSN. RN
Contact information
Practice address
291 S PRESTON RD STE 510, PROSPER, TX 75078-1907
(469) 701-1034
Mailing address
291 S PRESTON RD STE 510, PROSPER, TX 75078-1907
(469) 701-1034
(469) 719-3678
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
928949
TX
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/03/2019
Last updated
08/15/2026
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