Provider Demographics
NPI:1124573662
Name:OJIAKU, OGOCHUKWU (DNP, PMHNP-BC, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:OGOCHUKWU
Middle Name:
Last Name:OJIAKU
Suffix:
Gender:F
Credentials:DNP, PMHNP-BC, FNP-C
Other - Prefix:
Other - First Name:OGOCHUKWU
Other - Middle Name:N
Other - Last Name:OJIAKU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DNP, PMHNP-BC, FNP-C
Mailing Address - Street 1:165 AVONLEA DR
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30016-1226
Mailing Address - Country:US
Mailing Address - Phone:404-457-3743
Mailing Address - Fax:
Practice Address - Street 1:165 AVONLEA DR
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30016-1226
Practice Address - Country:US
Practice Address - Phone:404-457-3743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-24
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN216056363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily