Healthcare Provider Details

I. General information

NPI: 1306018445
Provider Name (Legal Business Name): HELEN O UZOKWE NP-C, DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2008
Last Update Date: 03/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5337 OLD NATIONAL HWY SUITE 100
COLLEGE PARK GA
30349-3208
US

IV. Provider business mailing address

5337 OLD NATIONAL HWY SUITE 100
COLLEGE PARK GA
30349-3208
US

V. Phone/Fax

Practice location:
  • Phone: 404-767-7777
  • Fax: 404-767-7770
Mailing address:
  • Phone: 404-767-7777
  • Fax: 404-767-7770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN145805
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: