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NPI Verification

National Provider Identifier: 1982339099

Ijeoma Odichinma Amanze

Individual Provider

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (2)

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

4864 JACKSON ST

MONROE, LA 712026400

Phone: 318-330-7615

NPI Enumeration Date

July 21, 2022

NPI Number

1982339099

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry