Individual provider · Type 1 NPI

Esongnyuo Fomukong-Etta, NP

Nurse Practitioner · Irving, TX

NPI number 1255886909 Active

Practice location

3050 Regent Blvd Ste 100
Irving, TX 75063-3107

Call (214) 689-8076 Map

Mailing address

PO Box 9755
Houston, TX 77213-0755

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAP131427 (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 1255886909

Esongnyuo Fomukong-Etta, NP's National Provider Identifier is 1255886909, issued on Aug 23, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Irving, TX. The record was last updated on Mar 10, 2020.