Provider Demographics
NPI:1225776016
Name:ONUOHA-EMEKA, FLORENCE EKE
Entity Type:Individual
Prefix:
First Name:FLORENCE
Middle Name:EKE
Last Name:ONUOHA-EMEKA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1979 LAKE CHASE LN
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30236-6122
Mailing Address - Country:US
Mailing Address - Phone:470-728-9285
Mailing Address - Fax:
Practice Address - Street 1:1979 LAKE CHASE LN
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-6122
Practice Address - Country:US
Practice Address - Phone:470-728-9285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-23
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA153586363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily