Provider Demographics
NPI:1497257018
Name:AMADI, HELEN AGWAJINMA (FNP)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:AGWAJINMA
Last Name:AMADI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 FLOWER MOUND RD
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-3503
Mailing Address - Country:US
Mailing Address - Phone:974-874-8421
Mailing Address - Fax:214-285-2721
Practice Address - Street 1:1100 FLOWER MOUND RD
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-3503
Practice Address - Country:US
Practice Address - Phone:974-874-8421
Practice Address - Fax:214-285-2721
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-28
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP136715363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily