Provider Demographics
NPI:1013482975
Name:AMOAKO, PEARL (FNP)
Entity type:Individual
Prefix:MRS
First Name:PEARL
Middle Name:
Last Name:AMOAKO
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 1:850 DOGWOOD RD STE NO2131
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30044-7218
Mailing Address - Country:US
Mailing Address - Phone:578-923-7048
Mailing Address - Fax:
Practice Address - Street 1:850 DOGWOOD RD STE NO2131
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30044-7218
Practice Address - Country:US
Practice Address - Phone:678-923-7048
Practice Address - Fax:770-502-6645
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-08
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN135475363LF0000X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse