SMART NWACHUKWU NPI 1053014159

NPI Information

  • NPI: 1053014159
  • Provider Name: SMART NWACHUKWU
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 341 CRYSTAL LAKE DR
    DESOTO, TX
    ZIP 75115
  • Phone: (214) 872-0280

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NPI Details

Smart Nwachukwu is a psychiatric/mental health nurse practitioner in Desoto, TX. Smart Nwachukwu NPI is 1053014159. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

341 CRYSTAL LAKE DR
DESOTO, TX
ZIP 75115-798
Phone: (214) 872-0280

The enumeration date for this NPI number is 3/27/2023 and was last updated on 3/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health2022058471TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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