Provider Demographics
NPI:1003375247
Name:OPARAH, NNEOMA CHINONSO (DNP, APRN,FNP-BC)
Entity type:Individual
Prefix:DR
First Name:NNEOMA
Middle Name:CHINONSO
Last Name:OPARAH
Suffix:
Gender:F
Credentials:DNP, APRN,FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 TURKS CAP TRL
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-4625
Mailing Address - Country:US
Mailing Address - Phone:469-734-3846
Mailing Address - Fax:
Practice Address - Street 1:116 TURKS CAP TRL
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-4625
Practice Address - Country:US
Practice Address - Phone:469-734-3846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-18
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP140994363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily