Provider Demographics
NPI:1255098711
Name:ESOMCHUKWU, BLESSING N (DNP, RN, PMHNP)
Entity type:Individual
Prefix:DR
First Name:BLESSING
Middle Name:N
Last Name:ESOMCHUKWU
Suffix:
Gender:F
Credentials:DNP, RN, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1829 CEDARBRIAR DR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75181-2430
Mailing Address - Country:US
Mailing Address - Phone:463-471-7839
Mailing Address - Fax:
Practice Address - Street 1:1829 CEDARBRIAR DR
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75181-2430
Practice Address - Country:US
Practice Address - Phone:463-471-7839
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-19
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1057341363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health