MEDICARE: JULIET UGOCHI NWOKEDI PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	R209732	MD
2	163W00000X	Registered Nurse	R209732	MD

General Provider Information

NPI Number	:	1003329541
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIET UGOCHI NWOKEDI PMHNP-BC

Provider Business Mailing Address
First Line	:	12425 DIPLOMA DR
Second Line	:
City	:	REISTERSTOWN
State	:	MD
Zip	:	21136-6040
Country	:	US
Telephone Number	:	410-207-8691
Fax Number	:

Provider Business Practice Location Address
First Line	:	250 ENGLAR RD STE 10
Second Line	:
City	:	WESTMINSTER
State	:	MD
Zip	:	21157-2927
Country	:	US
Telephone Number	:	410-249-9612
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2017
Last Update Date	:	09/03/2025

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