Provider Demographics
NPI:1447044789
Name:OUMA, NEREA ANN (NURSE PRACTIONER)
Entity type:Individual
Prefix:
First Name:NEREA
Middle Name:ANN
Last Name:OUMA
Suffix:
Gender:
Credentials:NURSE PRACTIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 BABY RUTH LN APT 508
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-2361
Mailing Address - Country:US
Mailing Address - Phone:615-319-7965
Mailing Address - Fax:
Practice Address - Street 1:2900 BABY RUTH LN APT 508
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-2361
Practice Address - Country:US
Practice Address - Phone:615-319-7965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2024105725363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty