Healthcare Provider Details

I. General information

NPI: 1467363465
Provider Name (Legal Business Name): OCBKISHA R AKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: OCBKISHA R BUTLER

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

278 LASALLE LEFFALL DR
QUINCY FL
32351-5324
US

IV. Provider business mailing address

170 QUAIL ROOST DR W
QUINCY FL
32352-9060
US

V. Phone/Fax

Practice location:
  • Phone: 850-875-7200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number11042693
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: