Organization
ICAN MEDICS AND PSYCH SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NGOZIKA TRACEY NJOKU PHMNP-BC, FNP-C (CLINICAL DIRECTOR)
(339) 364-0717
Entity
Organization
Contact information
Practice address
9535 FOREST LN STE 109, DALLAS, TX 75243-5934
(469) 709-8444
(469) 709-8445
Mailing address
9535 FOREST LN STE 109, DALLAS, TX 75243-5934
(469) 709-8444
(469) 709-8445
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/26/2019
Last updated
02/06/2020
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