Healthcare Provider Details

I. General information

NPI: 1821683525
Provider Name (Legal Business Name): CHINYERE A IHUNNAH MSN, APRN, AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2021
Last Update Date: 08/09/2024
Certification Date: 08/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5303 HARRY HINES BLVD
DALLAS TX
75390-7208
US

IV. Provider business mailing address

5303 HARRY HINES BLVD
DALLAS TX
75390-7208
US

V. Phone/Fax

Practice location:
  • Phone: 214-645-8300
  • Fax: 214-645-8801
Mailing address:
  • Phone: 214-645-8300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1154872
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number1154872
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: