Individual provider · Type 1 NPI
Jennisha Uduezue
Family Nurse Practitioner · Dallas, TX
NPI number
1700424207
Active
Practice location
4055 Valley View Ln
Dallas, TX 75244-5074
Mailing address
2930 Plateau Dr
Conway, AR 72032-9261
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 122840 (AR) |
Family Nurse Practitioner: Definition to come...
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About NPI 1700424207
Jennisha Uduezue's National Provider Identifier is 1700424207, issued on Dec 16, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dallas, TX. The record was last updated on Dec 16, 2019.