Provider Demographics
NPI:1811332760
Name:GENEBA, OKIKE I
Entity type:Individual
Prefix:MS
First Name:OKIKE
Middle Name:I
Last Name:GENEBA
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 1:3916 BIG FORK TRL
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-6412
Mailing Address - Country:US
Mailing Address - Phone:972-966-9954
Mailing Address - Fax:
Practice Address - Street 1:3916 BIG FORK TRL
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-6412
Practice Address - Country:US
Practice Address - Phone:972-966-9954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-06
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX726361163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse