Provider Demographics
NPI:1760120620
Name:ODILI, FRANCES UZOAMAKA
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:UZOAMAKA
Last Name:ODILI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:FRANCES
Other - Middle Name:UZOAMAKA
Other - Last Name:OGINI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PMHNP-BC
Mailing Address - Street 1:4506 VAUGHAN DR
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-7503
Mailing Address - Country:US
Mailing Address - Phone:469-879-7470
Mailing Address - Fax:
Practice Address - Street 1:4506 VAUGHAN DR
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-7503
Practice Address - Country:US
Practice Address - Phone:469-879-7470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-21
Last Update Date:2022-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1070796363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty