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

Victoria O Obianwu

Individual provider Family Nurse Practitioner · NPI 1124708078

Victoria O Obianwu is a Nurse Practitioner in Jacksonville, Texas. Qualified in 2023, 3 years ago. Practices with UT East Texas Urgent Care Centers, PLLC, a 33-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1602 S Jackson St
Jacksonville, TX 75766-3028
Phone: (430) 205-4150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 3131 Troup Hwy, Tyler, TX 75701-8350 — (903) 510-7000
  • 5414 S Broadway Ave, Tyler, TX 75703-1335 — (903) 581-1601
  • 3593 E Grande Blvd, Tyler, TX 75707-1400 — (903) 839-2585

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1129635 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 1129635 (TX)

Record details

NPI number1124708078
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 24, 2023
Last updated in NPPESDecember 2, 2024
Certification dateDecember 2, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Ut East Texas Urgent Care Centers, Pllc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Jacksonville