Provider Demographics
NPI:1578826343
Name:OCHUKA, JAMES AMILA (FNP)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:AMILA
Last Name:OCHUKA
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:15800 DOOLEY RD
Mailing Address - Street 2:#100
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-4284
Mailing Address - Country:US
Mailing Address - Phone:972-239-3849
Mailing Address - Fax:972-934-4969
Practice Address - Street 1:15800 DOOLEY RD
Practice Address - Street 2:#100
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-4284
Practice Address - Country:US
Practice Address - Phone:972-239-3849
Practice Address - Fax:972-934-4969
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-18
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX708267363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily