Provider Demographics
NPI:1669956280
Name:OKAFOR, GERTRUDE AKUDO (NP)
Entity type:Individual
Prefix:MRS
First Name:GERTRUDE
Middle Name:AKUDO
Last Name:OKAFOR
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5458 SWEETSPRINGS DR SW
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-8440
Mailing Address - Country:US
Mailing Address - Phone:404-984-9609
Mailing Address - Fax:
Practice Address - Street 1:5458 SWEETSPRINGS DR SW
Practice Address - Street 2:
Practice Address - City:POWDER SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30127-8440
Practice Address - Country:US
Practice Address - Phone:404-984-9609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-19
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN169018363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily