Provider Demographics
NPI:1598545089
Name:OPOKU, JOSEPHINE (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:
Last Name:OPOKU
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1303 BENT CREEK CT
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60565-1711
Mailing Address - Country:US
Mailing Address - Phone:312-404-0585
Mailing Address - Fax:
Practice Address - Street 1:1303 BENT CREEK CT
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60565-1711
Practice Address - Country:US
Practice Address - Phone:312-404-0585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILF10230112261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care