IFEOMA JULIET EZEIGWE


Address: 601 Beechwood Dr, Tyler, TX 75701-7735
Phone: 9035931246

IFEOMA JULIET EZEIGWE (NPI# 1104329218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104329218
Entity Type Individual
Full Name IFEOMA JULIET EZEIGWE
Credential NP
Practice Address 601 Beechwood Dr
Tyler
TX 75701-7735
Practice Telephone 9035931246
Practice Fax Number 9035931246
Mailing Telephone 9035931246
Mailing Fax Number 9035931246
Enumeration Date 2018-03-14
Last Update Date 2018-03-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
AP133917 TX Physician Assistants & Advanced Practice Nursing Providers
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
AP133917 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 601 BEECHWOOD DR
City TYLER
State TX
Zip Code 75701-7735

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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982934766 Sandra A Mosby Nurse Practitioner 13851 County Road 194, Tyler, TX 75703-6621 2009-12-30
1760021976 Gerardo Tapia Hernandez Nurse Practitioner 1000 S Beckham Ave, Tyler, TX 75701-1908 2020-01-06
1174738678 Karen Brazell Pearson Nurse Practitioner 520 Douglas Blvd, Tyler, TX 75702-8307 2007-05-10

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NPI Name Taxonomy Address Enumeration
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1104423300 Donna Ann Ford Nurse Practitioner 1605 Turtle Dr, San Angelo, TX 76904-7708 2020-10-01
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1851906960 Ann Nnenna Ugbeme Nurse Practitioner 1601 Lisburn Dr, Mckinney, TX 75071-3357 2020-09-15
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1962025171 Shewana Spencer Nurse Practitioner 613 W Bluff St, Woodville, TX 75979-5125 2020-05-21
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Competitor

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City TYLER
Zip Code 75701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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