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

Princess Kukua Ahedor

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1215401906

Princess Kukua Ahedor is a Nurse Practitioner in El Paso, Texas. Qualified in 2024, 2 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

2100 George Dieter Dr
El Paso, TX 79936-3815
Phone: (915) 955-2238
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 920 N Telshor Blvd Ste E, Las Cruces, NM 88011-8279 — (915) 955-2238

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP139886 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP139886 (TX)

Record details

NPI number1215401906
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 15, 2019
Last updated in NPPESFebruary 9, 2026
Certification dateFebruary 9, 2026
Mailing address4500 Carter Creek Pkwy Ste 101b, Bryan, TX 77802-4464

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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