Healthcare Provider Details

I. General information

NPI: 1679106702
Provider Name (Legal Business Name): FERDINAND AKOKO APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/18/2020
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3221 INDEPENDENCE PKWY
PLANO TX
75075-1972
US

IV. Provider business mailing address

10349 COACH HOUSE LN
FRISCO TX
75035-6959
US

V. Phone/Fax

Practice location:
  • Phone: 405-549-1987
  • Fax:
Mailing address:
  • Phone: 405-549-1987
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number119336
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number119336
License Number StateOK
# 3
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number119336
License Number StateOK
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number71175
License Number StateNM
# 5
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1016901
License Number StateTX
# 6
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP61386834
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: