Provider Demographics
NPI:1134580814
Name:UKOHA, UCHENNA STEPHANIE (DNP, APRN)
Entity type:Individual
Prefix:
First Name:UCHENNA STEPHANIE
Middle Name:
Last Name:UKOHA
Suffix:
Gender:F
Credentials:DNP, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4888 DEXTER DR STE 300B
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5565
Mailing Address - Country:US
Mailing Address - Phone:972-905-9435
Mailing Address - Fax:972-905-9489
Practice Address - Street 1:4888 DEXTER DR STE 300B
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5565
Practice Address - Country:US
Practice Address - Phone:972-905-9435
Practice Address - Fax:972-905-9489
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-09
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP130490363LF0000X, 363LP0808X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health