Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Emmanuel Etuokwu, AGNP-C, PMHNP-BC

Individual provider Primary Care Nurse Practitioner · NPI 1154897502

Emmanuel Etuokwu, AGNP-C, PMHNP-BC is a Primary Care Nurse Practitioner in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2018.

Licensed in
TX
In the registry since
2018
Specialties on file
6
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

1300 W Terrell Ave Ste K230
Fort Worth, TX 76104-2820
Phone: (817) 250-4906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence AP139648 (TX)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence AP139648 (TX)
Registered Nurse Taxonomy 163W00000X · Licence 731092 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence AP139648 (TX)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence AP139648 (TX)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence AP139648 (TX)

Record details

NPI number1154897502
Entity typeIndividual (Type 1)
GenderMale
Credentials AGNP-C , PMHNP-BC
Sole proprietorNo
NPI enumeratedOctober 23, 2018
Last updated in NPPESMarch 2, 2023
Certification dateMarch 2, 2023

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