MEDICARE: BLESSING OKON OKPO

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
1	363LF0000X	Family Nurse Practitioner	1047896	TX

General Provider Information

NPI Number	:	1205500402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BLESSING OKON OKPO

Provider Business Mailing Address
First Line	:	2000 E ARAPAHO RD APT 22303
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75081-7709
Country	:	US
Telephone Number	:	972-891-1700
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 E ARAPAHO RD APT 22303
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75081-7709
Country	:	US
Telephone Number	:	972-891-1700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2021
Last Update Date	:	12/08/2025

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Directions to “ BLESSING OKON OKPO ” Practice Location

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