Healthcare Provider Details

I. General information

NPI: 1841846342
Provider Name (Legal Business Name): DAVINA GLORIA UCHEGBU DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2019
Last Update Date: 09/24/2021
Certification Date: 09/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8017 FEATHERS NEST WAY
SACRAMENTO CA
95829-9606
US

IV. Provider business mailing address

8017 FEATHERS NEST WAY
SACRAMENTO CA
95829-9606
US

V. Phone/Fax

Practice location:
  • Phone: 408-551-9497
  • Fax:
Mailing address:
  • Phone: 408-551-9497
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95017189
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number705065
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: