Provider Demographics
NPI:1336654623
Name:UWAKWE, KELECHI C (DNP, APRN, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:KELECHI
Middle Name:C
Last Name:UWAKWE
Suffix:
Gender:
Credentials:DNP, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 AVERSBORO RD STE 400
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-3869
Mailing Address - Country:US
Mailing Address - Phone:919-264-9769
Mailing Address - Fax:919-944-7329
Practice Address - Street 1:405 AVERSBORO RD STE 400
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-3869
Practice Address - Country:US
Practice Address - Phone:919-986-7787
Practice Address - Fax:919-944-7329
Is Sole Proprietor?:No
Enumeration Date:2017-12-08
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC222304363LF0000X
NC5010689363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily