MEDICARE: UZOAMAKA SUSSAN OBIEKWE NP

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	1017442	TX

General Provider Information

NPI Number	:	1649159393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	UZOAMAKA SUSSAN OBIEKWE NP

Provider Business Mailing Address
First Line	:	1908 ARROW WOOD DR
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75028-8323
Country	:	US
Telephone Number	:	903-744-9302
Fax Number	:

Provider Business Practice Location Address
First Line	:	1908 ARROW WOOD DR
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75028-8323
Country	:	US
Telephone Number	:	903-744-9302
Fax Number	:

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

Provider Enumeration Date	:	08/28/2025
Last Update Date	:	04/02/2026

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