Provider Demographics
NPI:1902551658
Name:OKAFOR, FELICIA NNENNA (RN)
Entity Type:Individual
Prefix:MRS
First Name:FELICIA
Middle Name:NNENNA
Last Name:OKAFOR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9550 SKILLMAN ST STE 320
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-8252
Mailing Address - Country:US
Mailing Address - Phone:972-222-1282
Mailing Address - Fax:972-222-1493
Practice Address - Street 1:9550 SKILLMAN ST STE 320
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-8252
Practice Address - Country:US
Practice Address - Phone:972-222-1282
Practice Address - Fax:972-222-1493
Is Sole Proprietor?:No
Enumeration Date:2022-02-21
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX589645163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse