Individual provider · Type 1 NPI
Mispa Ewube Nkongho, NP
Psychiatric/Mental Health Nurse Practitioner · Grand Prairie, TX
NPI number
1083389662
Active
Practice location
2212 Bald Eagle Way
Grand Prairie, TX 75052-4138
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 1050549 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1083389662
Mispa Ewube Nkongho, NP's National Provider Identifier is 1083389662, issued on Aug 15, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Grand Prairie, TX. The record was last updated on Oct 17, 2023.