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Active NPI 1902468218 Individual Practitioner Female Practitioner

Doris Nwamaka Ejimadu

Nurse Practitioner - Family • Mansfield, TX

Professional Overview & Biography Verified Profile Summary

Doris Ejimadu is a registered healthcare professional specializing in Nurse Practitioner - Family in Mansfield, TX. Practice services are available at 305 REGENCY PKWY STE 509 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

305 Regency Pkwy Ste 509

Mansfield, TX 760633795

Telephone 8174532323
Associated Practice Facility / Clinic
🏢 Christie U Egbuchunam Md Pa Facility NPI 1770884603

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Mansfield, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.5 Yrs
State Avg: 8.8 Yrs
Regional Practice Density
88 Specialists

Practicing in Mansfield, TX (21454 Statewide)

Telehealth Adoption Rate
12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-05-04
Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License TX AP143302

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1053337709

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2020

Nurse Practitioner (License #AP143302 in TX)

✅
NPI Profile Active July 08, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2019

Registered at 305 REGENCY PKWY STE 509, MANSFIELD, TX 760633795 (Tel: 8174532323)

📍
Updated Business Mailing Address July 08, 2019

Registered at 2347 SHACKLEFORD TRL, GRAND PRAIRIE, TX 750528598 (Tel: 8608882940)

👤
Provider Name / Credentials Updated July 08, 2019

Recorded as DORIS EJIMADU

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 08, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902468218
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 08, 2019
Last Update: May 04, 2020
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

2347 Shackleford Trl

Grand Prairie, TX 750528598

Phone: 8608882940

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.