Provider Demographics
NPI:1841652773
Name:CHUKWUKERE, ECHIKA (NP)
Entity type:Individual
Prefix:
First Name:ECHIKA
Middle Name:
Last Name:CHUKWUKERE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4395 OGEECHEE RD
Mailing Address - Street 2:209
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-1249
Mailing Address - Country:US
Mailing Address - Phone:912-208-0726
Mailing Address - Fax:912-228-3046
Practice Address - Street 1:4395 OGEECHEE RD
Practice Address - Street 2:209
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-1249
Practice Address - Country:US
Practice Address - Phone:912-208-0726
Practice Address - Fax:912-228-3046
Is Sole Proprietor?:No
Enumeration Date:2016-03-21
Last Update Date:2016-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2015017924363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA2015017924OtherNURSE PRACTITIONER