Provider Demographics
NPI:1215419619
Name:NWOKEDI, ADAORA (FNP)
Entity type:Individual
Prefix:
First Name:ADAORA
Middle Name:
Last Name:NWOKEDI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9014 ACORN HARVEST TRL
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-1314
Mailing Address - Country:US
Mailing Address - Phone:773-317-1515
Mailing Address - Fax:
Practice Address - Street 1:14950 HEATHROW FOREST PKWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77032-3847
Practice Address - Country:US
Practice Address - Phone:281-921-2301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-31
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX887329163WH0200X
TX1003328363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WH0200XNursing Service ProvidersRegistered NurseHome Health