Healthcare Provider Details

I. General information

NPI: 1093457111
Provider Name (Legal Business Name): FRANCIS UMUNNA OKAFOR APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2022
Last Update Date: 04/16/2024
Certification Date: 04/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1004 SW PERTH SHIRE DR
LEES SUMMIT MO
64081-2630
US

IV. Provider business mailing address

1004 SW PERTH SHIRE DR
LEES SUMMIT MO
64081-2630
US

V. Phone/Fax

Practice location:
  • Phone: 913-948-4913
  • Fax:
Mailing address:
  • Phone: 913-948-4913
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number53-79451-082
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: