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

Prudencia A Ijeoma

Individual provider Registered Nurse · NPI 1891459376

Prudencia A Ijeoma is a Nurse Practitioner in Norman, Oklahoma. Qualified in 2021, 5 years ago. Practices with State of Oklahoma, a 99-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
5
Licensed in
OK
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

909 Alameda St
Norman, OK 73071-5229
Phone: (405) 360-5100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 210566 (OK)
Registered Nurse Taxonomy 163W00000X · Licence 0123998 (OK)

Record details

NPI number1891459376
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 29, 2021
Last updated in NPPESOctober 16, 2024
Certification dateOctober 16, 2024
Mailing addressPo Box 400, Norman, OK 73070-0400

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice State Of Oklahoma — 99 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Norman