Individual
IFEOMA NWANKWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1617 HEMPHILL ST, FORT WORTH, TX 76104
(817) 702-3100
(817) 702-4847
Mailing address
PO BOX 732973, DALLAS, TX 75373-2973
(817) 702-2450
(817) 702-4847
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP135550
TX
Other
Enumeration date
10/23/2017
Last updated
07/10/2018
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