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

Mr. Festus C Obonna

Individual provider Registered Nurse · NPI 1417457185

Mr. Festus C Obonna is a Nurse Practitioner in Frisco, Texas. Qualified in 2019, 7 years ago. Works from 2 locations. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

9300 John Hickman Pkwy Ste 904
Frisco, TX 75035-5894
Phone: (865) 696-9226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1608 Shady Grove Ct, Wylie, TX 75098-8144 — (865) 696-9226

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP143752 (TX)
Registered Nurse Taxonomy 163W00000X · Licence 817267 (TX)

Record details

NPI number1417457185
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 19, 2018
Last updated in NPPESJune 10, 2020
Certification dateJune 10, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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