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

Smart Nwachukwu

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1053014159

Smart Nwachukwu is a Nurse Practitioner in Desoto, Texas. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2023
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Practice location Address checks out

341 Crystal Lake Dr
Desoto, TX 75115-3798
Phone: (214) 872-0280
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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 2022058471 (TX)

Record details

NPI number1053014159
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 27, 2023
Last updated in NPPESMarch 27, 2023
Certification dateMarch 25, 2023
Mailing address341 Crystal Lake Dr, Desoto, TX 75115-3798

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)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Desoto