Organization · Type 2 NPI

Edward Timothy Okelley MD PC

Nurse Practitioner · Middletown, NY

NPI number 1407553936 Active

Practice location

155 Crystal Run Rd
Middletown, NY 10941-4028

Fax (903) 501-1100

Mailing address

5803 Stoneridge Dr
Texarkana, TX 75503-1461

Other practice locations

  • 5803 Stoneridge Dr, Texarkana, TX 75503-1461 · (972) 632-9642

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Clinical Social Worker 1041C0700XNone listed
Family Medicine Physician 207Q00000XNone listed
Physician Assistant 363A00000XNone listed
Medical Physician Assistant 363AM0700XNone listed
Nurse Practitioner Primary 363L00000XNone listed
Acute Care Nurse Practitioner 363LA2100XNone listed
Adult Health Nurse Practitioner 363LA2200XNone listed
Critical Care Medicine Nurse Practitioner 363LC0200XNone listed
Community Health Nurse Practitioner 363LC1500XNone listed
Family Nurse Practitioner 363LF0000XNone listed
Gerontology Nurse Practitioner 363LG0600XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed
Primary Care Nurse Practitioner 363LP2300XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1407553936

Edward Timothy Okelley MD PC's National Provider Identifier is 1407553936, issued on Feb 15, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Middletown, NY. The record was last updated on Sep 30, 2026.