Theresa Nkechi Ekenedo, NP
Nurse Practitioner, Family in Charlotte, NC. Individual provider (NPI-1).
NPI number1164096319
StatusActive
Last updated in NPPESOct 16, 2026
Details
- NPI
- 1164096319
- Entity type
- Individual (NPI-1)
- Name
- Theresa Nkechi Ekenedo
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 13, 2021
- Certification date
- Oct 16, 2026
- Last updated
- Oct 16, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F04210597 | SC | Yes |
| 163WM0705X | Registered Nurse, Medical-Surgical | 259365 | SC |
Other names
- Theresa Nkechi Okoye (Former Name)
Practice location
1000 Blythe BlvdCharlotte, NC 28203-5812
Phone 704-446-3451
Mailing address
713 Woburn Abbey DrFort Mill, SC 29715-6930
Phone 704-808-0732
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