Provider Demographics
NPI:1649159393
Name:OBIEKWE, UZOAMAKA SUSSAN (NP)
Entity type:Individual
Prefix:
First Name:UZOAMAKA
Middle Name:SUSSAN
Last Name:OBIEKWE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1908 ARROW WOOD DR
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-8323
Mailing Address - Country:US
Mailing Address - Phone:903-744-9302
Mailing Address - Fax:
Practice Address - Street 1:1908 ARROW WOOD DR
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-8323
Practice Address - Country:US
Practice Address - Phone:903-744-9302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1017442363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care