Healthcare Provider Details

I. General information

NPI: 1013727288
Provider Name (Legal Business Name): UCHECHI OKORO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2025
Last Update Date: 01/10/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 182
CYPRESS TX
77410-0182
US

IV. Provider business mailing address

PO BOX 182
CYPRESS TX
77410-0182
US

V. Phone/Fax

Practice location:
  • Phone: 862-215-2805
  • Fax:
Mailing address:
  • Phone: 862-215-2805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberNP1046383
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAC006990
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1177307
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: