Provider Demographics
NPI:1639837966
Name:OKPOR, FLORENCE CHIHA
Entity Type:Individual
Prefix:
First Name:FLORENCE
Middle Name:CHIHA
Last Name:OKPOR
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:FLORENCE
Other - Middle Name:CHIHA
Other - Last Name:OKPOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3021 BROMBLEY DR SE
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30013-6464
Mailing Address - Country:US
Mailing Address - Phone:678-343-1621
Mailing Address - Fax:
Practice Address - Street 1:10 PARK PLACE,
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-3030
Practice Address - Country:US
Practice Address - Phone:404-983-0488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-03
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA167715163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse