Ms Krystal Ukaegbu, RN, MSN - Community Based Residential Treatment Facility, Mental Illness in Shreveport, LA

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Ms Krystal Ukaegbu, RN, MSN is a Community Based Residential Treatment Facility, Mental Illness based in Shreveport, Louisiana. Ms Krystal Ukaegbu is licensed to practice in * (Not Available) (license number ) and her current practice location is 7000 Fern Ave Apt 135, Shreveport, Louisiana. She can be reached at her office (for appointments etc.) via phone at (318) 658-8303.

NPI number for Ms Krystal Ukaegbu is 1710787197 and her current mailing address is 8880 Bernay Dr, Shreveport, Louisiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710787197.

Contact Information

Ms Krystal Ukaegbu, RN, MSN
7000 Fern Ave Apt 135,
Shreveport, LA 71105-4914
(318) 658-8303
Not Available

Map and Direction




Provider's Profile

Full NameMs Krystal Ukaegbu
GenderFemale
SpecialityCommunity Based Residential Treatment Facility, Mental Illness
Location7000 Fern Ave Apt 135, Shreveport, Louisiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1710787197
  • Provider Enumeration Date: 03/15/2025
  • Last Update Date: 07/09/2025

Medical Identifiers

Medical identifiers for Ms Krystal Ukaegbu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710787197NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0808XRegistered Nurse - Psychiatric/mental Health RN131251 (Louisiana)Secondary
320900000XCommunity Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities (* (Not Available))Secondary
320800000XCommunity Based Residential Treatment Facility, Mental Illness (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Krystal Ukaegbu is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Krystal Ukaegbu, RN, MSN
8880 Bernay Dr,
Shreveport, LA 71118-2024

Ph: (318) 658-8303		Ms Krystal Ukaegbu, RN, MSN
7000 Fern Ave Apt 135,
Shreveport, LA 71105-4914

Ph: (318) 658-8303

Reviews and Comments



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