Ijeoma Tina Nwokoro, PMHNP | |
105 Switchback St, Knightdale, NC 27545-6004 | |
(443) 813-4620 | |
Not Available |
Full Name | Ijeoma Tina Nwokoro |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 105 Switchback St, Knightdale, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811648876 | NPI | - | NPPES |
2021186056 | Other | NC | PMHMP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2021186056 (North Carolina) | Primary |
Entity Name | Mellow Medical Inc A Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407275886 PECOS PAC ID: 3375767403 Enrollment ID: O20140611002222 |
Mailing Address | Practice Location Address |
---|---|
Ijeoma Tina Nwokoro, PMHNP 3513 Maitland Dr, Raleigh, NC 27610-1239 Ph: (443) 813-4620 | Ijeoma Tina Nwokoro, PMHNP 105 Switchback St, Knightdale, NC 27545-6004 Ph: (443) 813-4620 |
Suzanne L Masters, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 162 Legacy Oaks Dr, Knightdale, NC 27545 Phone: 919-813-6906 | |
Dawn Chandrell Hall, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1436 Silver Valley Dr, Knightdale, NC 27545 Phone: 716-907-8377 | |
Razu Khan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7201 Us Highway 64 E, Knightdale, NC 27545 Phone: 919-266-7600 | |
Kara Potter, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 162 Legacy Oaks Dr, Knightdale, NC 27545 Phone: 919-533-2141 | |
Mr. Godwin C Nweke, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6602 Knightdale Blvd Ste 202, Knightdale, NC 27545 Phone: 919-747-5285 | |
Mrs. Melanie Blankenship White, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6905 Knightdale Blvd, Suite 106, Knightdale, NC 27545 Phone: 919-261-8760 Fax: 919-261-8765 | |
Jennifer Thomas, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 162 Legacy Oaks Dr, Knightdale, NC 27545 Phone: 919-373-1810 |