Provider Demographics
NPI:1407279847
Name:AKOKO, NADEGE (FNP)
Entity Type:Individual
Prefix:
First Name:NADEGE
Middle Name:
Last Name:AKOKO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10349 COACH HOUSE LN
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-6959
Mailing Address - Country:US
Mailing Address - Phone:405-549-1987
Mailing Address - Fax:
Practice Address - Street 1:10349 COACH HOUSE LN
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-6959
Practice Address - Country:US
Practice Address - Phone:405-549-1987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-21
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA10385374U00000X
TX1083054363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No374U00000XNursing Service Related ProvidersHome Health Aide