Provider Demographics
NPI:1326390733
Name:OKECHUKWU, CHIOMA ONYINYECHUKWU (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:CHIOMA
Middle Name:ONYINYECHUKWU
Last Name:OKECHUKWU
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:CHIOMA
Other - Middle Name:ONYINYECHUKWU
Other - Last Name:OSIBODU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11804 SELKIRK DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78754-7006
Mailing Address - Country:US
Mailing Address - Phone:322-164-7518
Mailing Address - Fax:
Practice Address - Street 1:10625 W PARMER LN STE D400
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78717-4016
Practice Address - Country:US
Practice Address - Phone:512-733-9400
Practice Address - Fax:512-733-0400
Is Sole Proprietor?:No
Enumeration Date:2012-10-09
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX759225363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily