Provider Demographics
NPI:1205271418
Name:ONYEGWU, CHIDINMA JENNIFER (DNP,FNP-C, PMHNP-C)
Entity type:Individual
Prefix:
First Name:CHIDINMA
Middle Name:JENNIFER
Last Name:ONYEGWU
Suffix:
Gender:F
Credentials:DNP,FNP-C, PMHNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 RIVER FRONT PL APT 206
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-7135
Mailing Address - Country:US
Mailing Address - Phone:301-793-0626
Mailing Address - Fax:
Practice Address - Street 1:76 SUMMER ST STE 200A
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:MA
Practice Address - Zip Code:01420-5707
Practice Address - Country:US
Practice Address - Phone:617-936-0112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-01
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR184511363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily