Chinweuche Grace Ajaegbu, BSN, RN, CVRN
Individual provider Active NPI Registered Nurse · Rosharon, TX
NPI 1104764349 · NPPES record last updated Mar 21, 2026
Key facts
- NPI
- 1104764349
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 1125652 (TX)
- Practice address
- 10014 Whitney Reach Dr
Rosharon, TX 77583-1140 - Phone
- (240) 584-1817
- NPI assigned
- Mar 21, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1125652 | TX | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1125652 | TX | Yes |
Addresses
Primary practice location
10014 Whitney Reach Dr
Rosharon, TX 77583-1140
Mailing address
10014 Whitney Reach Dr
Rosharon, TX 77583-1140
Phone (240) 584-1817
Other providers in Rosharon, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.