Provider Demographics
NPI:1639789662
Name:OKORONKWO, AUGUSTINA C (FNP)
Entity Type:Individual
Prefix:
First Name:AUGUSTINA
Middle Name:C
Last Name:OKORONKWO
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 1:18906 HAYES GROVE LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-1680
Mailing Address - Country:US
Mailing Address - Phone:713-298-3062
Mailing Address - Fax:
Practice Address - Street 1:18906 HAYES GROVE LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-1680
Practice Address - Country:US
Practice Address - Phone:713-298-3062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-04
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1014587363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily