Individual
MS. KRYSTAL UKAEGBU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN
Contact information
Practice address
7000 FERN AVE APT 135, SHREVEPORT, LA 71105-4914
(318) 658-8303
Mailing address
8880 BERNAY DR, SHREVEPORT, LA 71118-2024
(318) 658-8303
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN131251
LA
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
03/15/2025
Last updated
07/09/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us