Basic Information
Provider Information
NPI: 1881033678
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ONUOHA
FirstName: JOSEPHINE
MiddleName: CHINWE
NamePrefix:  
NameSuffix:  
Credential: PMHNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 60447
Address2:  
City: CHARLOTTE
State: NC
PostalCode: 282600447
CountryCode: US
TelephoneNumber: 3364743444
FaxNumber: 3364748111
Practice Location
Address1: 200 HAWTHORNE LN
Address2:  
City: CHARLOTTE
State: NC
PostalCode: 282042515
CountryCode: US
TelephoneNumber: 7043849414
FaxNumber: 7043845735
Other Information
ProviderEnumerationDate: 06/14/2013
LastUpdateDate: 09/14/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/14/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0808X0024170897VAN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health
363L00000X5006498NCY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


Home