Provider Demographics
NPI:1568937084
Name:EKE, ONYINYECHI ULOMA (NP)
Entity Type:Individual
Prefix:
First Name:ONYINYECHI
Middle Name:ULOMA
Last Name:EKE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:ONYINYECHI
Other - Middle Name:ULOMA
Other - Last Name:EZE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:6115 ABBOTTS BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30097-5751
Mailing Address - Country:US
Mailing Address - Phone:770-318-8656
Mailing Address - Fax:
Practice Address - Street 1:1 BALTIMORE PL NW STE 400
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2117
Practice Address - Country:US
Practice Address - Phone:404-200-2130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-11
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAF06180846363L00000X
NY805809-1363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty