Provider Demographics
NPI:1205498524
Name:OKORO, UCHECHI MILLICENT (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:UCHECHI
Middle Name:MILLICENT
Last Name:OKORO
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3303 YORK DR
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-4899
Mailing Address - Country:US
Mailing Address - Phone:817-262-0371
Mailing Address - Fax:
Practice Address - Street 1:315 SUNSET AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-4606
Practice Address - Country:US
Practice Address - Phone:214-941-3500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-08
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP141990363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health