Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Surat Jumoke Ibrahim, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1659013332

Surat Jumoke Ibrahim, PMHNP-BC is a Nurse Practitioner in Arlington, Texas. Qualified in 2021, 5 years ago. Practices with Community Intervention Associates Inc, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona, New York and Texas.

Years since qualifying
5
Licensed in
AZ, NY, TX
In the registry since
2022
Specialties on file
3
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

6814 Big Bend Ln
Arlington, TX 76002-3510
Phone: (817) 374-5640
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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 275580 (AZ)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 1071834 (TX)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 404280 (NY)

Record details

NPI number1659013332
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedApril 12, 2022
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025

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 Community Intervention Associates Inc. — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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