Provider Demographics
NPI:1497213094
Name:OLEPERE, JUDITH WANGARI (PMHNP-BC, MSN)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:WANGARI
Last Name:OLEPERE
Suffix:
Gender:F
Credentials:PMHNP-BC, MSN
Other - Prefix:
Other - First Name:JUDITH
Other - Middle Name:WANGARI
Other - Last Name:NJOGU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1920 N COIT RD STE 219
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-2832
Mailing Address - Country:US
Mailing Address - Phone:214-744-5438
Mailing Address - Fax:972-478-0554
Practice Address - Street 1:1920 N COIT RD STE 219
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-2832
Practice Address - Country:US
Practice Address - Phone:214-744-5438
Practice Address - Fax:972-478-5438
Is Sole Proprietor?:No
Enumeration Date:2019-03-04
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP140851363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health