Provider Demographics
NPI:1689289308
Name:EKPENYONG, JULIANA (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:JULIANA
Middle Name:
Last Name:EKPENYONG
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:MISS
Other - First Name:JULIANA
Other - Middle Name:
Other - Last Name:OKOGUN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:815 S WASHINGTON AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:TX
Mailing Address - Zip Code:75670-5341
Mailing Address - Country:US
Mailing Address - Phone:903-927-6680
Mailing Address - Fax:903-927-6681
Practice Address - Street 1:815 S WASHINGTON AVE STE 201
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:TX
Practice Address - Zip Code:75670-5341
Practice Address - Country:US
Practice Address - Phone:903-927-6680
Practice Address - Fax:903-927-6681
Is Sole Proprietor?:No
Enumeration Date:2020-09-10
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1029215363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily