CAROLINE ONYEKACHI NWACHUKWU


Address: 203 Longhorn Trl, Grand Prairie, TX 75052-3589
Phone: 6323338040

CAROLINE ONYEKACHI NWACHUKWU (NPI# 1871132225) 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) 1871132225
Entity Type Individual
Full Name CAROLINE ONYEKACHI NWACHUKWU
Credential PMHNP
Practice Address 203 Longhorn Trl
Grand Prairie
TX 75052-3589
Practice Telephone 6323338040
Practice Fax Number 9728546632
Mailing Telephone 6323338040
Enumeration Date 2020-01-02
Last Update Date 2020-01-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
AP144111 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 203 LONGHORN TRL
City GRAND PRAIRIE
State TX
Zip Code 75052-3589

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962738245 E. E. Cornerstone Home Health, Inc Technician 203 Longhorn Trl, Grand Prairie, TX 75052-3589 2009-10-21

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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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1063059756 Modupe Olatunde Nurse Practitioner 6039 Cedar Glen Dr, Grand Prairie, TX 75052-0409 2019-12-02
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1780192666 Nkechi F Ezema Nurse Practitioner 1075 Wood Stream Dr, Grand Prairie, TX 75052-8838 2018-01-13
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Competitor

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City GRAND PRAIRIE
Zip Code 75052

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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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