Provider Demographics
NPI:1205653268
Name:UGWUOKE, JULIET CHIDIEBERE (PMHMP)
Entity type:Individual
Prefix:
First Name:JULIET
Middle Name:CHIDIEBERE
Last Name:UGWUOKE
Suffix:
Gender:F
Credentials:PMHMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2524 PETTUS DR
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-4158
Mailing Address - Country:US
Mailing Address - Phone:207-307-9686
Mailing Address - Fax:
Practice Address - Street 1:2524 PETTUS DR
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-4158
Practice Address - Country:US
Practice Address - Phone:207-307-9686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1135791363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health