Provider Demographics
NPI:1992537245
Name:IHENAKA, FELICIA CHINONYEREM (RN, MSN, CNP)
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:CHINONYEREM
Last Name:IHENAKA
Suffix:
Gender:F
Credentials:RN, MSN, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2011 CYPRESS TIMBER LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-2339
Mailing Address - Country:US
Mailing Address - Phone:832-692-3607
Mailing Address - Fax:
Practice Address - Street 1:2011 CYPRESS TIMBER LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-2339
Practice Address - Country:US
Practice Address - Phone:832-692-3607
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1171228363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health