Provider Demographics
NPI:1467225888
Name:EKEABU, UCHENNA JOSEPH (APN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:UCHENNA
Middle Name:JOSEPH
Last Name:EKEABU
Suffix:
Gender:M
Credentials:APN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4928 LAUREL AVE
Mailing Address - Street 2:
Mailing Address - City:PENNSAUKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08109-1222
Mailing Address - Country:US
Mailing Address - Phone:856-263-0752
Mailing Address - Fax:
Practice Address - Street 1:4928 LAUREL AVE
Practice Address - Street 2:
Practice Address - City:PENNSAUKEN
Practice Address - State:NJ
Practice Address - Zip Code:08109-1222
Practice Address - Country:US
Practice Address - Phone:856-263-0752
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-07
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ14946500363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health