Healthcare Provider Details

I. General information

NPI: 1558612325
Provider Name (Legal Business Name): PEACE N UWAEME FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/19/2012
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7460 WARREN PKWY SUITE 160
FRISCO TX
75034
US

IV. Provider business mailing address

7460 WARREN PKWY STE 160
FRISCO TX
75034-4170
US

V. Phone/Fax

Practice location:
  • Phone: 972-668-5400
  • Fax: 972-668-5401
Mailing address:
  • Phone: 972-668-5400
  • Fax: 972-668-5401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number675970
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number675970
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: