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General NPI Number Information
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NPI Number | 1720743479
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Entity Type | Individual
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Provider Name | NIKKY NNEKA OKONKWO
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Gender | Female
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Dates
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Enumeration Date | 11/07/2021
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 3575 ARDEN WAY UNIT 2092
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City | SACRAMENTO
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State | CA
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Zip | 95864-2911
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Country | US
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Telephone | 714-461-0746
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Fax | 714-364-1081
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Provider Business Mailing Address
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Address Line | 5104 CHINA BERRY DR
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City | MCKINNEY
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State | TX
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Zip | 75070-4671
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Country | US
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Telephone | 972-201-6965
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95028747
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License Number State | CA
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