Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grace Nwanne Igbudu

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1205518784

Grace Nwanne Igbudu is a Nurse Practitioner in Fort Worth, Texas. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2023

Practice location Address checks out

6777 Camp Bowie Blvd
Fort Worth, TX 76116-7155
Phone: (817) 670-4464
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2023019806 (TX)

Record details

NPI number1205518784
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 3, 2023
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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