Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KRYSTAL UKAEGBU, RN, MSN
Active Sole ProprietorMS. KRYSTAL UKAEGBU, RN, MSN is a Psychiatric Residential Treatment Facility healthcare provider located in SHREVEPORT, Louisiana. NPI 1710787197 is currently active in the NPPES registry. Verify at CMS.
Psychiatric Residential Treatment Facility · SHREVEPORT, LA
Registration Details
- NPI Number
- 1710787197
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 15, 2025 (1.3754929889591 yrs)
- Last Updated
- Jul 9, 2025
- License
-
RN131251 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7000 FERN AVE APT 135SHREVEPORT, LA, 711054914Browse LA providers · Browse ZIP 71105
- Phone
- 3186588303
- Primary Specialty
-
Psychiatric Residential Treatment Facility
320800000X
- Additional Specialty
- Emotionally Disturbed Children Residential Treatment
- Additional Specialty
- Psychiatric Residential Treatment Facility
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.