Provider Demographics
NPI:1851906960
Name:UGBEME, ANN NNENNA (AGNP-C)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:NNENNA
Last Name:UGBEME
Suffix:
Gender:F
Credentials:AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 LISBURN DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-3357
Mailing Address - Country:US
Mailing Address - Phone:469-834-1712
Mailing Address - Fax:
Practice Address - Street 1:1601 LISBURN DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-3357
Practice Address - Country:US
Practice Address - Phone:469-834-1712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-15
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP144344363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology