Individual provider · Type 1 NPI

Okezie Okoli

General Practice Registered Nurse · Ellenwood, GA

NPI number 1508783069 Active

Practice location

4213 Northwind Dr
Ellenwood, GA 30294-5403

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse Primary 163WG0000XRN213780 (GA)

General Practice Registered Nurse: Definition to come...

About NPI 1508783069

Okezie Okoli's National Provider Identifier is 1508783069, issued on Jul 3, 2026. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Ellenwood, GA. The record was last updated on Jul 3, 2026.