Healthcare Provider Details

I. General information

NPI: 1184378978
Provider Name (Legal Business Name): FELICIA EKEH REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2022
Last Update Date: 10/18/2025
Certification Date: 10/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

619 N 3RD ST
TEMPLE TX
76501-3156
US

IV. Provider business mailing address

3425 CAMPANELLA DR
ROUND ROCK TX
78665-2463
US

V. Phone/Fax

Practice location:
  • Phone: 254-773-6020
  • Fax:
Mailing address:
  • Phone: 512-748-6719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number710837
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1208419
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: