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Individual

NKEM O NKWONTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
3511 SHANNON RD # 341, DURHAM, NC 27707-6330
(844) 744-7944
(509) 495-1145
Mailing address
PO BOX 14123, DURHAM, NC 27709-4123
(844) 744-7944

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
281753
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5016677
NC

Other

Enumeration date
08/09/2022
Last updated
06/03/2025
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