Provider Demographics
NPI:1811877053
Name:IBEKWE, DEVAN ASHLEY (RN BSN)
Entity type:Individual
Prefix:
First Name:DEVAN
Middle Name:ASHLEY
Last Name:IBEKWE
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25420 KUYKENDAHL RD STE B3001009
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77375-3405
Mailing Address - Country:US
Mailing Address - Phone:832-957-7811
Mailing Address - Fax:832-300-2473
Practice Address - Street 1:16015 WINCHMORE HILL DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-6865
Practice Address - Country:US
Practice Address - Phone:832-957-7811
Practice Address - Fax:832-300-2473
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-08
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1157518163WH0200X, 163WW0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WW0000XNursing Service ProvidersRegistered NurseWound Care