Provider Demographics
NPI:1467526210
Name:EKPERI, CHARITY CHINASA (NP)
Entity Type:Individual
Prefix:
First Name:CHARITY
Middle Name:CHINASA
Last Name:EKPERI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:186 SUNSET AVE NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30314-4059
Mailing Address - Country:US
Mailing Address - Phone:404-612-4665
Mailing Address - Fax:404-224-5233
Practice Address - Street 1:186 SUNSET AVE NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30314-4059
Practice Address - Country:US
Practice Address - Phone:404-612-4665
Practice Address - Fax:404-224-5233
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2017-02-09
Deactivation Date:2007-01-17
Deactivation Code:
Reactivation Date:2013-08-16
Provider Licenses
StateLicense IDTaxonomies
GARN0892642083P0901X, 363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine