Provider Demographics
NPI:1205500402
Name:OKPO, BLESSING OKON
Entity type:Individual
Prefix:
First Name:BLESSING
Middle Name:OKON
Last Name:OKPO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 E ARAPAHO RD APT 22303
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-7709
Mailing Address - Country:US
Mailing Address - Phone:972-891-1700
Mailing Address - Fax:
Practice Address - Street 1:2000 E ARAPAHO RD APT 22303
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-7709
Practice Address - Country:US
Practice Address - Phone:972-891-1700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-03
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1047896363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily