Provider Demographics
NPI:1720457641
Name:OKONKWO, NGWANMA CHRISTIANA (FNP)
Entity Type:Individual
Prefix:
First Name:NGWANMA
Middle Name:CHRISTIANA
Last Name:OKONKWO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:NGWANMA
Other - Middle Name:CHRISTIANA
Other - Last Name:OGBONNA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:13410 NOBLE LANDING LN
Mailing Address - Street 2:
Mailing Address - City:ROSHARON
Mailing Address - State:TX
Mailing Address - Zip Code:77583-0408
Mailing Address - Country:US
Mailing Address - Phone:832-681-1215
Mailing Address - Fax:
Practice Address - Street 1:4936 BEECHNUT ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-1605
Practice Address - Country:US
Practice Address - Phone:281-783-8162
Practice Address - Fax:281-895-3083
Is Sole Proprietor?:No
Enumeration Date:2015-09-22
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP128845363L00000X
TXAP128445363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily