Individual provider · Type 1 NPI
Phillipa Ifeoma Modebelu, RN/NP
Nurse Practitioner · Grapevine, TX
Practice location
3701 Ira E Woods Ave
Grapevine, TX 76051-4213
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP123412 (TX) |
| Nurse Practitioner Primary | 363L00000X | AP123412 (TX) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1053647461
Phillipa Ifeoma Modebelu, RN/NP's National Provider Identifier is 1053647461, issued on Oct 20, 2009. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Grapevine, TX. The record was last updated on Mar 12, 2025.