Provider Demographics
NPI:1851526321
Name:OKERE MBAWUIKE, CHIDINMA JOY (FNP-C)
Entity Type:Individual
Prefix:
First Name:CHIDINMA
Middle Name:JOY
Last Name:OKERE MBAWUIKE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:CHIDINMA
Other - Middle Name:JOY
Other - Last Name:OKERE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:11511 SHADOW CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7298
Mailing Address - Country:US
Mailing Address - Phone:713-442-0000
Mailing Address - Fax:
Practice Address - Street 1:520 GULFGATE CENTER MALL
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77087-3022
Practice Address - Country:US
Practice Address - Phone:713-442-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-27
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP137471363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily