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NPI Code Detail

MEDICARE: RISING HOPE

MEDICARE: RISING HOPE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency
2363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1093422081
Entity Type Code : Organization
Provider Name (Legal Business Name) : RISING HOPE
Provider Business Mailing Address
First Line : PO BOX 17365
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27116-7365
Country : US
Telephone Number : 336-331-0978
Fax Number :
Provider Business Practice Location Address
First Line : 109 MUIRS CHAPEL RD STE 124
Second Line :
City : GREENSBORO
State : NC
Zip : 27410-6100
Country : US
Telephone Number : 336-331-0978
Fax Number :
Authorized Official
Title or Position : PSYCH NURSE PRACTITIONER
Name : JUSTINA ANULIKA OKONKWO
Credential :
Telephone Number : 336-331-0978
Provider Enumeration Date : 10/31/2022
Last Update Date : 02/11/2026

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Directions to “RISING HOPE ” Practice Location

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