Provider Demographics
NPI:1689914277
Name:OKORIE, CHINYERE J (FNP)
Entity Type:Individual
Prefix:MS
First Name:CHINYERE
Middle Name:J
Last Name:OKORIE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:CHINYERE
Other - Middle Name:JENNIFER
Other - Last Name:OKORIE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:1420 N COOPER ST STE 109
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76011-8530
Mailing Address - Country:US
Mailing Address - Phone:817-587-4470
Mailing Address - Fax:
Practice Address - Street 1:1420 N COOPER ST STE 109
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-8530
Practice Address - Country:US
Practice Address - Phone:817-587-4470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-19
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22753363LF0000X
TX1030772363LF0000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily