AKENJEM EBONG MBA (NPI# 1912417858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912417858 |
Entity Type | Individual |
Full Name | AKENJEM EBONG MBA |
Credential | NP |
Practice Address |
1902 Country Club Dr Ste 160 Carrollton TX 75006-5823 |
Mailing Address |
2411 Askew Dr Anna TX 75409-0179 |
Practice Telephone | 2146062448 |
Mailing Telephone | 4043258552 |
Enumeration Date | 2017-10-05 |
Last Update Date | 2017-10-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | AP135083 | TX | Allopathic & Osteopathic Physicians |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP135083 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1902 COUNTRY CLUB DR STE 160 |
City | CARROLLTON |
State | TX |
Zip Code | 75006-5823 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316505043 | Ethicus Hospital Dfw LLC | General Acute Care Hospital | 1401 E. Trinity Mills Road, Carroliton, TX 75006 | 2019-05-29 |
1215422712 | Jennifer Rebecca Joseph | Nurse Anesthetist, Certified Registered | 1446 E Trinity Mills Rd, Carrollton, TX 75006 | 2018-06-27 |
1619479185 | Dedrie Marie Beck | Physical Therapy Assistant | 1000 W. Crosby Road, Carrollton, TX 75006 | 2018-03-01 |
1851892475 | Springcare Enterprises | Clinic/Center | 2840 Keller Springs Road, Suite 601, Carrollton, TX 75006 | 2018-02-28 |
1659892685 | Brandon Maughan | Social Worker | 1100 West Jackson Road, Carrollton, TX 75006 | 2017-06-29 |
1568997500 | Ad Precision Health Clinic, Pllc | Specialist | 2810 E. Trinity Mills Road, Suite 130, Carrollton, TX 75006 | 2017-04-27 |
1366992976 | Total Body Chiropractic | Chiropractor | 2201 Midway Rd Ste 107, Carrollton, TX 75006 | 2016-10-06 |
1679021042 | Keturah Health, LLC | Internal Medicine | 1420 Valwood Parkway, 170a, Carrollton, TX 75006 | 2016-09-14 |
1104202019 | Dazzling Smiles Dental | Dentist | 2145 North Josey Lane., Carrollton, TX 75006 | 2015-08-03 |
1336533595 | First Texas Hospital Carrollton LLC | General Acute Care Hospital | 1401 E. Trinity Mills Rd, Carrollton, TX 75006 | 2015-03-26 |
Find all providers in zip 75006 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619583531 | Tessy M. John | Nurse Practitioner | 1656 Audubon Ct, Carrollton, TX 75010-2145 | 2020-09-16 |
1619589769 | Hyo Sook Choi | Nurse Practitioner | 2324 Old Denton Rd Ste 100, Carrollton, TX 75006-1440 | 2020-08-20 |
1861001000 | Allwell Health Care | Nurse Practitioner | 1001 E Hebron Pkwy Ste 118-297, Carrollton, TX 75010-1002 | 2020-07-23 |
1114536364 | Gloria Oluchi Ikonne | Nurse Practitioner | 1001 East Hebron Pkwy Suite 118-297, Carrollton, TX 75010-1015 | 2020-07-23 |
1851909717 | Antoinae Hawkins | Nurse Practitioner | 1110 E Branch Hollow Dr Apt 356, Carrollton, TX 75007-1072 | 2020-07-16 |
1770106429 | Rhema Healthcare Services | Nurse Practitioner | 1420 Valwood Pkwy Ste No20170a, Carrollton, TX 75006-8312 | 2020-05-28 |
1255968004 | Eunjung Kim | Nurse Practitioner | 4444 Saukenuk Ln, Carrollton, TX 75010-1203 | 2020-03-23 |
1124660063 | Jenna Brooke Pugh | Nurse Practitioner | 2160 County Road 130, Carrollton, MS 38917-5731 | 2019-10-11 |
1760023972 | Amy Rowell | Nurse Practitioner | 150 Clinic Ave Ste 201, Carrollton, GA 30117-4402 | 2019-09-30 |
1083270557 | Ray Thomas | Nurse Practitioner | 1033 Dame Carol Way, Carrollton, TX 75010-2357 | 2019-05-10 |
Find all providers in CARROLLTON |
City | CARROLLTON |
Zip Code | 75006 |
Please comment or provide details below to improve the information on AKENJEM EBONG MBA.
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.