Provider Demographics
NPI:1285518761
Name:OGWUEGBU, CHIKODI JANE (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:CHIKODI
Middle Name:JANE
Last Name:OGWUEGBU
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2017 AVONDOWN RD
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-0927
Mailing Address - Country:US
Mailing Address - Phone:516-450-0327
Mailing Address - Fax:
Practice Address - Street 1:2017 AVONDOWN RD
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-0927
Practice Address - Country:US
Practice Address - Phone:516-450-0327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2025039333363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health