Healthcare Provider Details

I. General information

NPI: 1093449381
Provider Name (Legal Business Name): FRANCISCA OKAFOR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2022
Last Update Date: 07/12/2022
Certification Date: 07/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4906 YELLOW LOCUST DR
BROWNS SUMMIT NC
27214-9111
US

IV. Provider business mailing address

4906 YELLOW LOCUST DR
BROWNS SUMMIT NC
27214-9111
US

V. Phone/Fax

Practice location:
  • Phone: 336-662-7175
  • Fax:
Mailing address:
  • Phone: 336-662-7175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAG06220070
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: