Provider Demographics
NPI:1194228205
Name:OKONKWO, JUSTINA ANULIKA (DNP, PMHNP-BC, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:JUSTINA
Middle Name:ANULIKA
Last Name:OKONKWO
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Gender:F
Credentials:DNP, PMHNP-BC, FNP-C
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Mailing Address - Street 1:PO BOX 17365
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27116-7365
Mailing Address - Country:US
Mailing Address - Phone:336-331-0978
Mailing Address - Fax:336-339-0979
Practice Address - Street 1:620 E LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-2755
Practice Address - Country:US
Practice Address - Phone:336-331-0907
Practice Address - Fax:336-331-0909
Is Sole Proprietor?:No
Enumeration Date:2018-03-15
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC5010380363L00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner