Victoria Obianwu
NPI 1124708078 · Nurse Practitioner · Jacksonville, TX
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1124708078
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1129635 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Methylprednisolone | 48 | 48 |
| Azithromycin | 47 | 47 |
| Prednisone | 46 | 45 |
| Doxycycline Hyclate | 28 | 27 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 17 | 17 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 17 | 16 |
| Ciprofloxacin Hcl | 16 | 14 |
Practice location
Mailing address
Additional practice locations (3)
- 3593 E Grande BlvdTyler, TX 75707-1400Phone: (903) 839-2585
- 3131 Troup HwyTyler, TX 75701-8350Phone: (903) 510-7000
- 5414 S Broadway AveTyler, TX 75703-1335Phone: (903) 581-1601
Registry dates
- Enumerated
- 2023-07-24
- Last updated
- 2024-12-02
- Certified
- 2024-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.