Healthcare Provider Details

I. General information

NPI: 1558220988
Provider Name (Legal Business Name): DAVID ONYIEGO PMHNP BC
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/21/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1911 HILLANDALE RD STE 1040
DURHAM NC
27705-2666
US

IV. Provider business mailing address

510 E PETTIGREW ST APT 117
DURHAM NC
27701-4865
US

V. Phone/Fax

Practice location:
  • Phone: 919-450-8058
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number315675
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: