Provider Demographics
NPI:1700604840
Name:ONYEMMA, SCHOLASTICA (NP)
Entity type:Individual
Prefix:
First Name:SCHOLASTICA
Middle Name:
Last Name:ONYEMMA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 BRENTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-6123
Mailing Address - Country:US
Mailing Address - Phone:469-992-1703
Mailing Address - Fax:
Practice Address - Street 1:1801 N HAMPTON RD STE 425
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-2491
Practice Address - Country:US
Practice Address - Phone:469-992-1703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-27
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1128896363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health