Healthcare Provider Details

I. General information

NPI: 1245163294
Provider Name (Legal Business Name): CHINYERE ONUOHA PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 SELSEY DR
WAKE FOREST NC
27587-4908
US

IV. Provider business mailing address

130 SELSEY DR
WAKE FOREST NC
27587-4908
US

V. Phone/Fax

Practice location:
  • Phone: 919-671-9389
  • Fax: 919-424-7578
Mailing address:
  • Phone: 919-671-9389
  • Fax: 919-424-7578

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2026038606
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: