Individual
NKECHI VIVIAN EKEZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3840 HULEN ST, FORT WORTH, TX 76107-7277
(817) 569-4300
Mailing address
6212 THUNDERWING DR, FORT WORTH, TX 76179-1540
(817) 768-0395
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1191633
TX
Other
Enumeration date
03/10/2025
Last updated
03/31/2026
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