Ezeigwe, Ifeoma Juliet

Ezeigwe, Ifeoma Juliet is an sole proprietor health care provider with primary practice located at 601 Beechwood Dr , Tyler TX 75701-7735. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Ezeigwe, Ifeoma Juliet can be contacted via phone (903) 593-1246.

Contact Information

Primary practice address
601 Beechwood Dr Tyler TX 75701-7735
Phone: (903) 593-1246
Fax: (903) 593-1246
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP133917 Texas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP133917 Texas
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP133917 Texas

Profile Details

NPI number 1104329218
LBN Legal business name Ezeigwe, Ifeoma Juliet
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2018
Last updated Dec 6th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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