# PAMELA MOKOKO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Primary Care & Mental Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700324316
- **Authorized official:** MRS. PAMELA ENJEMA MOKOKO PMHNP, FNP, APRN-BC (OWNER/CEO)
- **Authorized official phone:** (912) 224-1156

## Contact information

- **Practice address:** 31285 TEMECULA PARKWAY, STE 250, TEMECULA, CA 92592
- **Practice address phone:** (912) 224-1156
- **Mailing address:** 165 WILLOW OAK DR, RICHMOND HILL, GA 31324-4069
- **Mailing address phone:** (731) 595-4433
- **Mailing address fax:** (877) 600-8393

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | RN153499 | GA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | RN153499 | GA | Yes |

## Other

- **Enumeration date:** 02/02/2017
- **Last updated:** 11/21/2023