Provider Demographics
NPI:1033733449
Name:UCHE, NNEKA ME'SHELL
Entity Type:Individual
Prefix:
First Name:NNEKA
Middle Name:ME'SHELL
Last Name:UCHE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 1ST PL
Mailing Address - Street 2:
Mailing Address - City:ADA
Mailing Address - State:OK
Mailing Address - Zip Code:74820-2027
Mailing Address - Country:US
Mailing Address - Phone:580-372-4653
Mailing Address - Fax:
Practice Address - Street 1:1009 1ST PL
Practice Address - Street 2:
Practice Address - City:ADA
Practice Address - State:OK
Practice Address - Zip Code:74820-2027
Practice Address - Country:US
Practice Address - Phone:580-372-4653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-01
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator