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CHINENYE EBELE EZEUDEMBA
NPI 1366010324
Nurse Practitioner - Psychiatric/Mental Health in Jacksonville, FL

Active since June 16, 2021
4600 TOUCHTON RD E STE 150, JACKSONVILLE, FL 32246(183) 359-8642 Get Directions Write a Review

NPPES record last updated: December 14, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 14, 2024, Jul 29, 2024, Jun 16, 2021 (3 updates tracked since 2021).

About Chinenye Ebele Ezeudemba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHINENYE EBELE EZEUDEMBA (NPI 1366010324) is an individual psychiatric/mental health provider in Jacksonville, Florida, licensed in Washington (61589892) and active in the NPI registry since June 2021. She maintains a secondary practice location in Antioch.

NPPES Registry Identity

NPI1366010324
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCHINENYE EBELE EZEUDEMBA
Location Address4600 TOUCHTON RD E STE 150Jacksonville, FL 32246-8299
Mailing Address2040 Carefree LnAntioch, TN 37013-3583 · (615) 420-5634
Phone(183) 359-8642
Sole ProprietorNo
Enumeration DateJune 16, 2021
Last NPPES UpdateDecember 14, 20243 updates tracked since enumeration
NPPES CertifiedDecember 14, 2024
✔ NPI 1366010324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in WA · 61589892✔ Licensed in FL · 11019685✔ Licensed in TN · 29479
4600 TOUCHTON RD E STE 150, Jacksonville, FL 32246
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Secondary Practice Location 1

Location 12040 Carefree LnAntioch, TN 37013-3583 · Phone (615) 420-5634

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROLYN MARIE ADEMSKI ARNP
Nurse Practitioner (Psychiatric/Mental Health)
4600 TOUCHTON RD E STE 150
JACKSONVILLE, FL 32246
Duval County (415) 671-2165
MISS JESSICA ELIZA CAMPBELL-BOYD ARNP
Nurse Practitioner (Psychiatric/Mental Health)
4600 TOUCHTON RD E STE 150
JACKSONVILLE, FL 32246
Duval County (415) 735-5804
ZANESIS LLC
Taxi
4600 TOUCHTON RD E STE 150
JACKSONVILLE, FL 32246
Duval County (817) 891-4688

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chinenye Ezeudemba's NPI number?

The NPI number for Chinenye Ezeudemba is 1366010324. It was assigned to this individual provider in the NPPES registry on June 16, 2021.

Where is Chinenye Ezeudemba located?

Chinenye Ezeudemba practices at 4600 Touchton Rd E Ste 150, Jacksonville, FL 32246. The listed phone number is (183) 359-8642.

What is Chinenye Ezeudemba's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Chinenye Ezeudemba was last updated on December 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.