IFEOMA NWANKWO


Address: 1617 Hemphill St, Fort Worth, TX 76104
Phone: 8177023100

IFEOMA NWANKWO (NPI# 1760993398) 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) 1760993398
Entity Type Individual
Full Name IFEOMA NWANKWO
Credential PMHNP
Practice Address 1617 Hemphill St
Fort Worth
TX 76104
Mailing Address Po Box 732973
Dallas
TX 75373-2973
Practice Telephone 8177023100
Practice Fax Number 8177024847
Mailing Telephone 8177022450
Mailing Fax Number 8177024847
Enumeration Date 2017-10-23
Last Update Date 2018-07-10
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
AP135550 TX Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1500 S. Main, Fort Worth, TX 76104 8177027360

Other Providers IFEOMA NWANKWO

NPI Name Taxonomy Address Enumeration
1134631526 Ifeoma Nwankwo Nurse Practitioner 220 Harrison St, East Orange, NJ 07018-0774 2017-10-25

Office Location

Street Address 1617 HEMPHILL ST
City FORT WORTH
State TX
Zip Code 76104

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487616561 Cynthia Anne Claassen Psychologist 1617 Hemphill St, Fort Worth, TX 76104 2006-04-05
1447802814 Stefanie Lynn Smith Physician Assistant 1617 Hemphill St, Fort Worth, TX 76104-4709 2019-07-15
1073087805 Kosisochukwu Mora Physician Assistant 1617 Hemphill St, Fort Worth, TX 76104-4709 2019-01-15
1760954655 Sofia Mohammad Abdulaziz Physician Assistant 1617 Hemphill St, Fort Worth, TX 76104-4709 2018-12-18
1821595554 Katherine Mary Weber Psychologist 1617 Hemphill St, Fort Worth, TX 76104-4709 2018-04-09
1215395405 Ashley Baillio Nurse Practitioner 1617 Hemphill St, Fort Worth, TX 76104-4709 2016-02-03
1659633311 Michele D. Lightfoot Nurse Practitioner 1617 Hemphill St, Fort Worth, TX 76104-4709 2012-06-08
1164782256 Yukyung Jung Psychiatry & Neurology 1617 Hemphill St, Fort Worth, TX 76104-4709 2012-05-22
1285912931 Jps Physician Group, Inc Family Medicine 1617 Hemphill St, Fort Worth, TX 76104-4709 2011-07-29
1528397122 Wei Yu Physician Assistant 1617 Hemphill St, Jps Physician Group, Fort Worth, TX 76104-4709 2009-12-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669082186 Cvs Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 1115 8th St, Fort Worth, TX 76104 2020-08-10
1992343693 Iris Giove Psychologist John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 2019-12-13
1104480656 Swarnalaxmi Umapathy Student in an Organized Health Care Education/Training Program 900 8th Avenue, Fort Worth, TX 76104 2019-04-30
1881189132 Mega Surgical Assistants LLC Specialist/Technologist, Other 1301pennsylvania, Fort Worth, TX 76104 2018-06-28
1356848899 Tricia Kelly Nurse Practitioner 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 2018-04-11
1952820979 Modern Vein Clinic Internal Medicine 757 8th Avenue, Suite A, Forth Worth, TX 76104 2017-09-11
1790207165 Vanessa Abbood Dietitian, Registered 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 2017-07-07
1922537562 Nicole Marie Tod Student in an Organized Health Care Education/Training Program 1500 S Main Street, Fort Worth, TX 76104 2017-06-07
1770025934 Micah Bonola Chiropractor 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 2016-11-04
1518315894 United Bioscience, LLC. Clinical Medical Laboratory 901 W. Leuda St., B, Fort Worth, TX 76104 2016-05-27
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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...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386257814 Daniel Oyewusi Oyewole Nurse Practitioner 4051 Hunters Creek Dr, Fort Worth, TX 76123-2549 2020-08-25
1174147037 Ugbodu Ene Awoniyi Nurse Practitioner 4924 Cliburn Dr, Fort Worth, TX 76244-6130 2020-06-05
1346863925 Lynnetta Vanice Cheeks Nurse Practitioner 6101 Saddlepack Dr, Fort Worth, TX 76123-1591 2020-05-18
1073143160 Dorcas Mwangi Nurse Practitioner 4809 Campfire Ct, Fort Worth, TX 76244-7922 2020-01-17
1497390686 Chigane Abraham Nurse Practitioner 8609 Glenburne Dr, Fort Worth, TX 76131 2019-11-12
1457895666 Paul Geise Nurse Practitioner 3501 Ne Loop 820, #306, Fort Worth, TX 76137-2415 2016-12-06
1477005007 Amie Wolverton Riddle Nurse Practitioner 320 Silver Canyon Dr, Fort Worth, TX 76108-9612 2016-10-31
1659742211 Kamesha Roshun Mitchell Nurse Practitioner 3100 Hulen St, Fort Worth, TX 76107 2015-10-08
1255592424 Akosua Serwaa Obeng Nurse Practitioner 8949 Silent Brook Ln, Fort Worth, Fort Worth, TX 76244-4946 2008-06-20
1154518470 Dawn Dean Nurse Practitioner 124 Cooks Ln, Fort Worth, TX 76120-2016 2007-10-01
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Competitor

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City FORT WORTH
Zip Code 76104

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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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