Healthcare Provider Details

I. General information

NPI: 1013392570
Provider Name (Legal Business Name): FELICIA N. ONYEUKU FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2015
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2305 HIGHWAY 34 E
NEWNAN GA
30265
US

IV. Provider business mailing address

225 WOODBYNE DR
FAYETTEVILLE GA
30214-1295
US

V. Phone/Fax

Practice location:
  • Phone: 678-423-1043
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN-NP161369
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-NP161369
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberMO3856878
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: