Healthcare Provider Details

I. General information

NPI: 1982559779
Provider Name (Legal Business Name): CRYSTAL UDUNMA OKAFOR PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 02/27/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5870 FARINGDON PL STE 2
RALEIGH NC
27609-3931
US

IV. Provider business mailing address

5870 FARINGDON PL STE 2
RALEIGH NC
27609-3931
US

V. Phone/Fax

Practice location:
  • Phone: 919-771-3429
  • Fax: 919-771-3429
Mailing address:
  • Phone: 919-771-3429
  • Fax: 888-761-3994

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number5024052
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: