Provider Demographics
NPI:1013554617
Name:IROKWE, IFEOMA NWAKAEGO (PMHNP)
Entity Type:Individual
Prefix:
First Name:IFEOMA
Middle Name:NWAKAEGO
Last Name:IROKWE
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2905 DUSTYWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-6783
Mailing Address - Country:US
Mailing Address - Phone:972-900-3652
Mailing Address - Fax:877-306-2754
Practice Address - Street 1:13601 PRESTON RD STE 460E
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-4967
Practice Address - Country:US
Practice Address - Phone:972-900-3652
Practice Address - Fax:877-306-2754
Is Sole Proprietor?:No
Enumeration Date:2019-12-03
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP144105363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health