MEDICARE: OKIEMUTE STELLA EKPRUKE PMHNP-BC, MSN, MBA

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	2084P0800X	Psychiatry Physician	742491	TX

General Provider Information

NPI Number	:	1033078159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OKIEMUTE STELLA EKPRUKE PMHNP-BC, MSN, MBA

Provider Business Mailing Address
First Line	:	27526 ROBILLARD SPRINGS LN
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-3334
Country	:	US
Telephone Number	:	281-748-0528
Fax Number	:

Provider Business Practice Location Address
First Line	:	7311 EDEN CROSSING LN
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-1574
Country	:	US
Telephone Number	:	281-748-0528
Fax Number	:

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

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	01/16/2026

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