Healthcare Provider Details

I. General information

NPI: 1598630378
Provider Name (Legal Business Name): MERCY NNEKA OPARA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2025
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8218 TOWNSEND ST
FAIRFAX VA
22031-4858
US

IV. Provider business mailing address

8218 TOWNSEND ST
FAIRFAX VA
22031-4858
US

V. Phone/Fax

Practice location:
  • Phone: 703-537-6377
  • Fax:
Mailing address:
  • Phone: 703-547-6377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024194987
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: