Provider Demographics
NPI:1427412303
Name:OKORO, IJEOMA BELINDA (FNP)
Entity Type:Individual
Prefix:
First Name:IJEOMA
Middle Name:BELINDA
Last Name:OKORO
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 1:3358 CONTINENTAL DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-2510
Mailing Address - Country:US
Mailing Address - Phone:832-643-0048
Mailing Address - Fax:
Practice Address - Street 1:3358 CONTINENTAL DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-2510
Practice Address - Country:US
Practice Address - Phone:832-643-0048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-07
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP130171363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily