Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ngufor Fube Divine, CRNP-PMH

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1669197208

Dr. Ngufor Fube Divine, CRNP-PMH is a Nurse Practitioner in Fort Sam Houston, Texas. Qualified in 2022, 4 years ago. Practices with Primal Point LLC, a 3-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
4
Licensed in
MD
In the registry since
2022
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Practice location Address checks out

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone: (210) 808-1859
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 8210 Jeremiah Ln, Columbia, MD 21044-4165 — (240) 423-8757
  • 8713 Harford Rd Ste 102, Parkville, MD 21234-4650 — (443) 230-2285
  • 9001 Harford Rd, Parkville, MD 21234-4029 — (240) 423-8757

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R241388 (MD)

Record details

NPI number1669197208
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP-PMH
Sole proprietorYes
NPI enumeratedOctober 6, 2022
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Primal Point Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fort Sam Houston