Provider Demographics
NPI:1508556499
Name:MANNING-OKEKE, MARCIA MOURINE (APRN)
Entity Type:Individual
Prefix:MRS
First Name:MARCIA
Middle Name:MOURINE
Last Name:MANNING-OKEKE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MISS
Other - First Name:MARCIA
Other - Middle Name:MOURINE
Other - Last Name:MANNING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2451 NORTHMILL LN
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30035-3522
Mailing Address - Country:US
Mailing Address - Phone:404-319-5876
Mailing Address - Fax:
Practice Address - Street 1:1825 COUNTY SERVICES PKWY SW
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30008-4013
Practice Address - Country:US
Practice Address - Phone:770-499-4200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-12
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA241049363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner