Provider Demographics
NPI:1770142093
Name:UKWANDU, NKECHI NIKKI FRANCA (MSN PMHMNP)
Entity type:Individual
Prefix:
First Name:NKECHI NIKKI
Middle Name:FRANCA
Last Name:UKWANDU
Suffix:
Gender:F
Credentials:MSN PMHMNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8503 WOODSIDE CT
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3936
Mailing Address - Country:US
Mailing Address - Phone:202-509-7000
Mailing Address - Fax:
Practice Address - Street 1:4404 QUEENSBURY RD
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737-1068
Practice Address - Country:US
Practice Address - Phone:202-509-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-10
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR194956363LP0808X
DCRN1028739363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health