Provider Demographics
NPI:1134489834
Name:ONYENEKWE, JESSE (MD)
Entity Type:Individual
Prefix:
First Name:JESSE
Middle Name:
Last Name:ONYENEKWE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:21216 NORTHWEST FWY
Mailing Address - Street 2:STE 430
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-4696
Mailing Address - Country:US
Mailing Address - Phone:904-383-1003
Mailing Address - Fax:904-244-7388
Practice Address - Street 1:655 W 8TH ST, ACC, 1ST FL, PRIMARY CARE CENTER
Practice Address - Street 2:UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE-JACKSONVILLE
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32209-6511
Practice Address - Country:US
Practice Address - Phone:904-383-1003
Practice Address - Fax:904-244-7388
Is Sole Proprietor?:No
Enumeration Date:2012-05-29
Last Update Date:2022-12-15
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Provider Licenses
StateLicense IDTaxonomies
TXR7839174400000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No174400000XOther Service ProvidersSpecialist