Provider Demographics
NPI:1720433865
Name:UKE, IRENE IFEYINWA (FNP-C PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:IRENE
Middle Name:IFEYINWA
Last Name:UKE
Suffix:
Gender:F
Credentials:FNP-C PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2033 MILITARY PKWY STE 402D
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-3670
Mailing Address - Country:US
Mailing Address - Phone:469-373-2828
Mailing Address - Fax:469-373-2500
Practice Address - Street 1:2033 MILITARY PKWY STE 402D
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-3670
Practice Address - Country:US
Practice Address - Phone:469-373-2828
Practice Address - Fax:469-373-2500
Is Sole Proprietor?:No
Enumeration Date:2016-04-26
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP130753363LF0000X, 363LP0808X
WAAP61441229363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily