Healthcare Provider Details

I. General information

NPI: 1689914277
Provider Name (Legal Business Name): CHINYERE J OKORIE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHINYERE JENNIFER OKORIE FNP

II. Dates (important events)

Enumeration Date: 02/19/2013
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1855 GATTIS SCHOOL RD
ROUND ROCK TX
78664-7428
US

IV. Provider business mailing address

1420 N COOPER ST STE 109
ARLINGTON TX
76011-8530
US

V. Phone/Fax

Practice location:
  • Phone: 866-389-2727
  • Fax: 401-216-2854
Mailing address:
  • Phone: 817-587-4470
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4039283
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3-002435
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number330944
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number1030772
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number22753
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number39051
License Number StateTN
# 7
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number907311
License Number StateMS
# 8
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number243123
License Number StateLA
# 9
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1030772
License Number StateTX
# 10
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number890605
License Number StateNV
# 11
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number84754
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: