MEDICARE: UCHENNA STEPHANIE UKOHA DNP, APRN

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	363L00000X	Nurse Practitioner	AP130490	TX
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP130490	TX
3	363LF0000X	Family Nurse Practitioner	AP130490	TX

General Provider Information

NPI Number	:	1134580814
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	UCHENNA STEPHANIE UKOHA DNP, APRN

Provider Business Mailing Address
First Line	:	7978 PRESTON RD # 804
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75034-5607
Country	:	US
Telephone Number	:	972-905-9435
Fax Number	:	972-905-9489

Provider Business Practice Location Address
First Line	:	7978 PRESTON RD STE 804
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75034-5607
Country	:	US
Telephone Number	:	972-905-9435
Fax Number	:	972-905-9489

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

Provider Enumeration Date	:	03/09/2016
Last Update Date	:	04/13/2026

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