MEDICARE: CHIDINMA IWUEKE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	374U00000X	Home Health Aide
2	3747P1801X	Personal Care Attendant
3	3747A0650X	Attendant Care Provider
4	372600000X	Adult Companion
5	373H00000X	Day Training/Habilitation Specialist

General Provider Information

NPI Number	:	1154025146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHIDINMA IWUEKE

Provider Business Mailing Address
First Line	:	547 N MOUNT JULIET RD STE 201
Second Line	:
City	:	MT JULIET
State	:	TN
Zip	:	37122-8332
Country	:	US
Telephone Number	:	615-252-7005
Fax Number	:

Provider Business Practice Location Address
First Line	:	547 N MOUNT JULIET RD STE 201
Second Line	:
City	:	MT JULIET
State	:	TN
Zip	:	37122-8332
Country	:	US
Telephone Number	:	615-252-7005
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2023
Last Update Date	:	05/17/2026

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Directions to “ CHIDINMA IWUEKE ” Practice Location

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