ONYEBUCHI NWAOKOLO (NPI# 1639603707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639603707 |
Entity Type | Individual |
Full Name | ONYEBUCHI NWAOKOLO |
Practice Address |
500 Lanier Ave W Ste 103c Fayetteville GA 30214-7640 |
Mailing Address |
1012 Spaniel Ter Hampton GA 30228-5951 |
Practice Telephone | 4042188934 |
Mailing Telephone | 4042188934 |
Enumeration Date | 2017-04-16 |
Last Update Date | 2019-01-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
RN216945 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
500 LANIER AVE W STE 103C |
City | FAYETTEVILLE |
State | GA |
Zip Code | 30214-7640 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891266466 | Glofusion LLC | Home Infusion | 500 Lanier Ave W Ste 103c, Fayetteville, GA 30214-7640 | 2018-12-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
Find all providers in zip 30214 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114300100 | Jennifer Oxford | Nurse Practitioner | 2629 N Sierra Ave, Fayetteville, AR 72703-3370 | 2015-07-08 |
1982228748 | Priscilla Anne Locklear | Nurse Practitioner | 3637 Cape Center Dr, Fayetteville, NC 28304-4457 | 2020-06-07 |
1548881279 | Divine Family Practice and Urgent Care, Pllc | Nurse Practitioner | 526 Sandhurst Dr, Fayetteville, NC 28304-4426 | 2020-05-05 |
1790305746 | Andrew Joseph Sanchez | Nurse Practitioner | 745 Glynn St S, Fayetteville, GA 30214-2049 | 2020-04-20 |
1356984280 | Taylor Anne Schubert | Nurse Practitioner | 2109 Valleygate Dr Ste 201, Fayetteville, NC 28304-3571 | 2019-10-23 |
1245690288 | Shenilla Solomon | Nurse Practitioner | 2300 Ramsey Street, Fayetteville, NC 28301 | 2016-03-03 |
1114385374 | Tiffany Michelle Jackson | Nurse Practitioner | 12 E Appleby Rd, Suite 101, Fayetteville, AR 72703-3901 | 2016-02-03 |
1164887873 | Simpleclinic Pllc | Nurse Practitioner | 1074 Southern Ave, Fayetteville, NC 28306-1766 | 2015-12-22 |
1467877340 | Taesha Cybille Nicole Winford | Nurse Practitioner | 3 East Appleby Road, Suite 301, Fayetteville, AR 72703 | 2014-02-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639784788 | Natasha Allen | Nurse Practitioner | 4177 Pelham Cir, Lithonia, GA 30038-6140 | 2020-09-14 |
1336753920 | Henny P Brown | Nurse Practitioner | 3430 Ridgeland Pl, Alpharetta, GA 30004-8483 | 2020-09-01 |
1487267415 | Alethea Hope Tucker | Nurse Practitioner | 3685 Braselton Hwy Ste 100, Dacula, GA 30019-5920 | 2020-08-28 |
1952913808 | Carol Jo Wilbanks | Nurse Practitioner | 206 Crest Dr, Rock Spring, GA 30739-2041 | 2020-08-21 |
1164032017 | Myiesha Sellers Mcfarlin | Nurse Practitioner | 55 Sellers Ln, Baxley, GA 31513-2208 | 2020-08-05 |
1124645395 | Kisha Smalley | Nurse Practitioner | 117 Gambier Cv, Mcdonough, GA 30252-6273 | 2020-07-02 |
1346861127 | Finan Tedla | Nurse Practitioner | 2626 Peachtree Rd Nw Unit 1802, Atlanta, GA 30305-5633 | 2020-05-03 |
1841819547 | Millicent Charte Duncan | Nurse Practitioner | 138 Parkview Rd, Savannah, GA 31419-9672 | 2020-04-13 |
1891329660 | Tracey Lynn Murray | Nurse Practitioner | 980 Johnson Ferry Rd Ste 880, Sandy Springs, GA 30342-1609 | 2020-03-02 |
1841820917 | Vedic Family Practice and Wellness | Nurse Practitioner | 1240 Upper Hembree Rd Ste E, Roswell, GA 30076-0914 | 2020-01-17 |
Find all providers with the same taxonomy |
City | FAYETTEVILLE |
Zip Code | 30214 |
Please comment or provide details below to improve the information on ONYEBUCHI NWAOKOLO.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.