Provider Demographics
NPI:1174418602
Name:GLOBAL MEDICAL GROUP PRACTICE, LLC
Entity type:Organization
Organization Name:GLOBAL MEDICAL GROUP PRACTICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:EUNICE
Authorized Official - Middle Name:ADAKU
Authorized Official - Last Name:OKORO
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC, FNP-BC DNP
Authorized Official - Phone:240-441-7299
Mailing Address - Street 1:5316 WILEY ST
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737-3045
Mailing Address - Country:US
Mailing Address - Phone:240-441-7299
Mailing Address - Fax:
Practice Address - Street 1:3611 BRANCH AVE STE 309
Practice Address - Street 2:
Practice Address - City:TEMPLE HILLS
Practice Address - State:MD
Practice Address - Zip Code:20748-1242
Practice Address - Country:US
Practice Address - Phone:240-441-7299
Practice Address - Fax:301-909-0050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty