MEDICARE: IFEOMA JENNIFER UKWAMEDUA AGNP-C

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	363LA2200X	Adult Health Nurse Practitioner	AP135344	TX
2	363LG0600X	Gerontology Nurse Practitioner	AP135344	TX
3	363LP2300X	Primary Care Nurse Practitioner	AP135344	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AP135344	OTHER	TX	TEXAS BOARD OF NURSING

General Provider Information

NPI Number	:	1831609528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IFEOMA JENNIFER UKWAMEDUA AGNP-C

Provider Business Mailing Address
First Line	:	14611 WYNBOURN WAY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-4700
Country	:	US
Telephone Number	:	281-302-9885
Fax Number	:

Provider Business Practice Location Address
First Line	:	14611 WYNBOURN WAY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-4700
Country	:	US
Telephone Number	:	281-302-9885
Fax Number	:

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

Provider Enumeration Date	:	10/06/2017
Last Update Date	:	10/06/2017

Similar Medicare Providers

1326066242 — JOANA HOME HEALTH CONCEPT INC
Practice Location Address:

14607 WYNBOURN WAY
HOUSTON, TX
77083-4700

Practice Phone: 832-881-6829
Practice Fax: 281-495-1054

1336517127 — BINA SALEH AGNP
Practice Location Address:

4700 W SAM HOUSTON PKWY N STE 220
HOUSTON, TX
77041-8224

Practice Phone: 713-402-7824
Practice Fax: 713-570-0196

1932073368 — NORTHEAST MEDICAL GROUP, PLLC
Practice Location Address:

1454 LOCKWOOD DR STE E
HOUSTON, TX
77020-4700

Practice Phone: 713-249-8236
Practice Fax:

1578561338 — DR. MARK ALQUIZA MD
Practice Location Address:

4700 W SAM HOUSTON PKWY N STE 220
HOUSTON, TX
77041-8224

Practice Phone: 713-402-7824
Practice Fax: 713-570-0196

1932189289 — DR. JESUS GARCIA-ESPARZA DC
Practice Location Address:

4040 BROADWAY ST STE A
HOUSTON, TX
77087-4700

Practice Phone: 713-643-6737
Practice Fax: 713-643-6565

1487689303 — VENKATA LAKSHMI S.K. ACHANTA M.D.
Practice Location Address:

4700 W SAM HOUSTON PKWY N STE 220
HOUSTON, TX
77041-8224

Practice Phone: 713-402-7824
Practice Fax: 713-570-0196

Directions to “ IFEOMA JENNIFER UKWAMEDUA AGNP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.