NPI Code Details Logo

NPI 1508675778

NPI 1508675778 : UZOMA CHRISTINE MBONU NP : SOUTHERN PINES, NC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1508675778
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    UZOMA CHRISTINE MBONU NP
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/02/2025
-----------------------------------------------------
    Last Update Date     |    03/12/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    185 WOOSTER RD 
-----------------------------------------------------
    City                 |    SOUTHERN PINES
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28387-2354
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    910-690-6773
-----------------------------------------------------
    Fax                  |    910-216-2504
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    14217 S POST OAK RD 
-----------------------------------------------------
    City                 |    HOUSTON
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77045-5249
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    713-834-4730
-----------------------------------------------------
    Fax                  |    910-216-2504
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    1180283
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    363LP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    5023489
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.