Berachah Nursing Care PLLC
Nurse Practitioner, Family in Desoto, TX. Organization (NPI-2).
NPI number1598608648
StatusActive
Last updated in NPPESApr 13, 2026
Details
- NPI
- 1598608648
- Entity type
- Organization (NPI-2)
- Legal business name
- Berachah Nursing Care PLLC
- Organization subpart
- No
- Enumeration date
- Apr 13, 2026
- Certification date
- Apr 13, 2026
- Last updated
- Apr 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Practice location
2727 Bolton Boone Dr Ste 101Desoto, TX 75115-2019
Phone 903-724-6624
Mailing address
1613 Birch StMansfield, TX 76063-4466
Authorized official
Jumoke Adedeji
Owner Of Entity
9037246624
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