| Miss Nneka Chinelo Jon-ubabuco, PMHNP-BC | |
|
220 N Park Blvd, Suite 114, Grapevine, TX 76051-6987 | |
| (817) 488-7771 | |
| (817) 488-7774 |
| Full Name | Miss Nneka Chinelo Jon-ubabuco |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 220 N Park Blvd, Grapevine, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912274622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP121280 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Forefront-rush Medical Service Pa | 4486884285 | 12 |
| Forefront Telecare Inc | 9638319114 | 27 |
| Entity Name | Shannon Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702 |
| Entity Name | Adult Child & Adolescent Psychiatric Services Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194036459 PECOS PAC ID: 0244488054 Enrollment ID: O20120920000429 |
| Entity Name | Forefront-rush Medical Service Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083036651 PECOS PAC ID: 4486884285 Enrollment ID: O20140222000095 |
| Entity Name | Access Telecare Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013303080 PECOS PAC ID: 7810204831 Enrollment ID: O20150923000991 |
| Entity Name | Behavioral Health Of North Texas Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699328195 PECOS PAC ID: 4880924166 Enrollment ID: O20190930002329 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Nneka Chinelo Jon-ubabuco, PMHNP-BC 220 N Park Blvd, Suite 114, Grapevine, TX 76051-6987 Ph: (817) 488-7771 | Miss Nneka Chinelo Jon-ubabuco, PMHNP-BC 220 N Park Blvd, Suite 114, Grapevine, TX 76051-6987 Ph: (817) 488-7771 |
Mrs. Evelyn Carol Ting, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1054 Texan Trail, Suite 100, Grapevine, TX 76051 Phone: 817-424-2113 Fax: 817-439-6839 | |
Tiffany Marie Woods, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 220 N Park Blvd Ste 114, Grapevine, TX 76051 Phone: 817-488-7771 | |
Kimberly Loraine Kammerer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1601 Lancaster Dr Ste 10b, Grapevine, TX 76051 Phone: 817-576-6665 | |
Deborah Vaughan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1602 Lancaster Dr, Suite 102, Grapevine, TX 76051 Phone: 817-329-8364 Fax: 817-329-1285 | |
Mrs. Phillipa Ifeoma Modebelu, RN/NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3701 Ira E Woods Ave, Grapevine, TX 76051 Phone: 866-389-2727 | |
Ronald G Kimmel, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 Ira E Woods Ave, Ste. 600, Grapevine, TX 76051 Phone: 817-488-9991 | |
Megan Catanzaro, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1643 Lancaster Dr Ste 305, Grapevine, TX 76051 Phone: 888-339-0906 |