Provider Demographics
NPI:1487165965
Name:NKOMO, VELILE SIBUSISIWE (DNP PMHNP)
Entity type:Individual
Prefix:
First Name:VELILE
Middle Name:SIBUSISIWE
Last Name:NKOMO
Suffix:
Gender:F
Credentials:DNP PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2657 JOHNSON CT
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-1696
Mailing Address - Country:US
Mailing Address - Phone:469-573-5539
Mailing Address - Fax:
Practice Address - Street 1:3960 BROADWAY BLVD STE 140
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-2593
Practice Address - Country:US
Practice Address - Phone:469-573-5539
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-24
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP135504363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health