Individual
IFEOMA JENNIFER UKWAMEDUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
14611 WYNBOURN WAY, HOUSTON, TX 77083-4700
(281) 302-9885
Mailing address
14611 WYNBOURN WAY, HOUSTON, TX 77083-4700
(281) 302-9885
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP135344
TX
363LG0600X
Gerontology Nurse Practitioner
AP135344
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
AP135344
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP135344
TEXAS BOARD OF NURSING
TX
Enumeration date
10/06/2017
Last updated
10/06/2017
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