Healthcare Provider Details

I. General information

NPI: 1750870879
Provider Name (Legal Business Name): BRENDA OKOJIE APRN,PMHNP-BC,FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/03/2018
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 BALCONES DR STE 100
AUSTIN TX
78731-4298
US

IV. Provider business mailing address

PO BOX 284
ROWLETT TX
75030-0284
US

V. Phone/Fax

Practice location:
  • Phone: 972-525-7046
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP137383
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP137383
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: