Provider Demographics
NPI:1861258600
Name:IKPEME, IFEOMA DONNA (DNP, RN)
Entity type:Individual
Prefix:
First Name:IFEOMA
Middle Name:DONNA
Last Name:IKPEME
Suffix:
Gender:F
Credentials:DNP, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24606 WINDMILL CANYON LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-1694
Mailing Address - Country:US
Mailing Address - Phone:713-498-6097
Mailing Address - Fax:
Practice Address - Street 1:24606 WINDMILL CANYON LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-1694
Practice Address - Country:US
Practice Address - Phone:713-498-6097
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX787430163WA2000X, 163WP0808X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health