Provider Demographics
NPI:1649770165
Name:SMITH, BLESSING UCHECHUKWU (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:BLESSING
Middle Name:UCHECHUKWU
Last Name:SMITH
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:BLESSING
Other - Middle Name:UCHECHUKWU
Other - Last Name:ETUOKWU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:AGNP-C
Mailing Address - Street 1:9711 S MASON RD STE 125-215
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-7167
Mailing Address - Country:US
Mailing Address - Phone:346-933-2463
Mailing Address - Fax:713-234-7382
Practice Address - Street 1:9711 S MASON RD STE 125-215
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-7167
Practice Address - Country:US
Practice Address - Phone:346-933-2463
Practice Address - Fax:713-234-7382
Is Sole Proprietor?:No
Enumeration Date:2018-02-21
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP139645363L00000X
TX880842163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse