MEDICARE: FELICIA EKEH REGISTERED NURSE

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	163WH0200X	Home Health Registered Nurse	710837	TX
2	363LF0000X	Family Nurse Practitioner	1208419	TX

General Provider Information

NPI Number	:	1184378978
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FELICIA EKEH REGISTERED NURSE

Provider Business Mailing Address
First Line	:	3425 CAMPANELLA DR
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78665-2463
Country	:	US
Telephone Number	:	512-748-6719
Fax Number	:

Provider Business Practice Location Address
First Line	:	619 N 3RD ST
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76501-3156
Country	:	US
Telephone Number	:	254-773-6020
Fax Number	:

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

Provider Enumeration Date	:	02/09/2022
Last Update Date	:	10/18/2025

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Directions to “ FELICIA EKEH REGISTERED NURSE” Practice Location

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