Basic Information
| Provider Information | |||||||||
| NPI: | 1841669884 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OKEIYI | ||||||||
| FirstName: | UZOMA | ||||||||
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| Credential: | WHNP-BC, MSN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 764 PINE STREET | ||||||||
| Address2: | MSC 154 | ||||||||
| City: | MACON | ||||||||
| State: | GA | ||||||||
| PostalCode: | 31201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4786331721 | ||||||||
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| Practice Location | |||||||||
| Address1: | 764 PINE ST | ||||||||
| Address2: | |||||||||
| City: | MACON | ||||||||
| State: | GA | ||||||||
| PostalCode: | 312012107 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4786331721 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/21/2015 | ||||||||
| LastUpdateDate: | 08/20/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/20/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LW0102X | RN173784 | GA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Women's Health |
No ID Information.