Healthcare Provider Details

I. General information

NPI: 1700192275
Provider Name (Legal Business Name): CHIOMA JANE-FRANCES ENYERIBE M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHIOMA JANE-FRANCES ACHILIKE M.D

II. Dates (important events)

Enumeration Date: 08/23/2010
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2698 N GALLOWAY AVE STE 107
MESQUITE TX
75150-6390
US

IV. Provider business mailing address

785 5TH AVE STE 3
CHAMBERSBURG PA
17201-4232
US

V. Phone/Fax

Practice location:
  • Phone: 856-952-6558
  • Fax:
Mailing address:
  • Phone: 717-263-9555
  • Fax: 717-217-4218

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberQ1142
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberQ1142
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: