Provider Demographics
NPI:1265221279
Name:WOKE ENTERPRISE LLC
Entity type:Organization
Organization Name:WOKE ENTERPRISE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VENUS
Authorized Official - Middle Name:
Authorized Official - Last Name:WOKE
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, CNP, PMHNP-BC
Authorized Official - Phone:919-446-5188
Mailing Address - Street 1:300 SOUTHTOWN CIR
Mailing Address - Street 2:
Mailing Address - City:ROLESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27571-9573
Mailing Address - Country:US
Mailing Address - Phone:919-446-5188
Mailing Address - Fax:984-330-5684
Practice Address - Street 1:9221 FOREST HILL AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-6876
Practice Address - Country:US
Practice Address - Phone:919-446-5188
Practice Address - Fax:984-330-5684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty