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

Lawretta Njideka Ezukanma, RN

Individual provider Administrator Registered Nurse · NPI 1841526142

Lawretta Njideka Ezukanma, RN is a Nurse Practitioner in Fort Worth, Texas. Qualified in 2023, 3 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2009
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

9908 Lamberton Ter
Fort Worth, TX 76244-8514
Phone: (817) 980-5659
Fax: (817) 562-2544
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 1146978 (TX)
Administrator Registered Nurse Taxonomy 163WA2000X · Licence 719537 (TX)

Record details

NPI number1841526142
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedOctober 22, 2009
Last updated in NPPESJanuary 8, 2024
Certification dateJanuary 8, 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 Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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