Provider Demographics
NPI:1760660112
Name:NKWENTI, PAMELA TEGEMAH (PMHNP)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:TEGEMAH
Last Name:NKWENTI
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6963 COSIMO LN
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-7715
Mailing Address - Country:US
Mailing Address - Phone:614-377-3391
Mailing Address - Fax:
Practice Address - Street 1:6963 COSIMO LN
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-7715
Practice Address - Country:US
Practice Address - Phone:614-377-3391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-07
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN338197163W00000X
OH2020011235363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse