Provider Demographics
NPI:1225410525
Name:CHUKWUMA, UGONMA IGWE (FNP)
Entity Type:Individual
Prefix:
First Name:UGONMA
Middle Name:IGWE
Last Name:CHUKWUMA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4445 KENDALE RD
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-9113
Mailing Address - Country:US
Mailing Address - Phone:336-688-4545
Mailing Address - Fax:336-884-1482
Practice Address - Street 1:1232 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-3118
Practice Address - Country:US
Practice Address - Phone:336-884-1475
Practice Address - Fax:336-884-1482
Is Sole Proprietor?:No
Enumeration Date:2015-06-23
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5007213363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily