Provider Demographics
NPI:1255479457
Name:NWANKPA, JOSEPHINE NDUAGU (RN)
Entity Type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:NDUAGU
Last Name:NWANKPA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7111 HARWIN DR. SUITE 215
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2143
Mailing Address - Country:US
Mailing Address - Phone:713-272-7273
Mailing Address - Fax:713-272-7276
Practice Address - Street 1:7111 HARWIN DR. SUITE 215
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-7180
Practice Address - Country:US
Practice Address - Phone:713-272-7273
Practice Address - Fax:713-272-7276
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX621214163WH1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH1000XNursing Service ProvidersRegistered NurseHospice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1093765133Medicaid