Healthcare Provider Details

I. General information

NPI: 1508799313
Provider Name (Legal Business Name): STORMY OKLESH RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1234 HUFFMAN MILL RD
BURLINGTON NC
27215-8700
US

IV. Provider business mailing address

105 OLD CHARLESTON DR
ELON NC
27244-9265
US

V. Phone/Fax

Practice location:
  • Phone: 336-538-2367
  • Fax:
Mailing address:
  • Phone: 336-213-2046
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: