NKENNA AJAGBA


Address: 2911 Medical Arts St Ste 6, Austin, TX 78705-3302
Phone: 5125802323

NKENNA AJAGBA (NPI# 1336798180) 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) 1336798180
Entity Type Individual
Full Name NKENNA AJAGBA
Credential APRN, PMHNP-BC
Practice Address 2911 Medical Arts St Ste 6
Austin
TX 78705-3302
Mailing Address 2250 Double Creek Dr Ste 5212
Round Rock
TX 78664-3800
Practice Telephone 5125802323
Practice Fax Number 5125801195
Enumeration Date 2019-09-04
Last Update Date 2019-09-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
AP142916 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2911 MEDICAL ARTS ST STE 6
City AUSTIN
State TX
Zip Code 78705-3302

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922260827 Marco Antonio Vega Psychiatry & Neurology 2911 Medical Arts St Ste 6, Austin, TX 78705-3302 2008-07-01
1053686741 Bradley B. Price Md Professional Association Specialist 2911 Medical Arts St Ste 6, Austin, TX 78705-3302 2012-03-14

Providers in the same zip code

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1740894559 Ben Aviel Specialist/Technologist 2501 Leon, Austin, TX 78705 2020-08-31
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1285272765 Lisa K Wheeler Counselor 2520 Longivew Street, Suite 313, Austin, TX 78705 2019-12-16
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1336795202 Grace Evelyn Martin Specialist/Technologist University of Texas, 110 Inner Campus Drive, Austin, TX 78705 2019-08-15
1801450317 Nicole Buchele Obstetrics & Gynecology Ut Austin Dell Medical School-obgyn, Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 2019-04-30
1124502794 Joan Margaret Carroll Physician Assistant 3000 N, I-35, Suite 600, Austin, TX 78705 2018-09-19
1841797636 Corbin Anne Weaver Obstetrics & Gynecology Medical Park Tower, 1301 W. 38th St., Suite 705, Austin, TX 78705 2018-04-09
1740707892 Christine Marie Falk Specialist/Technologist 2810 Hemphill Park, Apt 211, Austin, TX 78705 2017-08-29
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1609494251 Nandita Sarkar Nurse Practitioner 12804 Partridge Bend Dr, Austin, TX 78729-7385 2020-07-09
1295360477 Linda Dawn Dao Nurse Practitioner 1715 S Capital of Texas Hwy Ste 205, Austin, TX 78746-6561 2020-03-07
1518591460 Mynd Works Psychiatry, Pllc Nurse Practitioner 3724 Jefferson St Ste 206, Austin, TX 78731-6221 2020-03-01
1447726377 Alysse Rochelle Craft Nurse Practitioner 5339 N Interstate 35 Ste 100, Austin, TX 78723-2558 2018-10-18
1033691746 Malcolm Duncan Nurse Practitioner 7005 Mira Loma Ln Ste 101, Austin, TX 78723-1411 2018-08-30
1003396391 Kimberly Bridzeke Staton Nurse Practitioner 1201 E 7th St Ste 620, Austin, TX 78702-3222 2018-08-16
1598201972 Jeffrey Wright Bayless Nurse Practitioner 4600 Monterey Oaks Blvd, Apt 2211, Austin, TX 78749-4300 2017-01-10
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Competitor

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City AUSTIN
Zip Code 78705

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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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