Individual
FENNY APONDI OKELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4254 PAULA DR, WINSTON SALEM, NC 27127-6820
(910) 578-1665
Mailing address
4254 PAULA DR, WINSTON SALEM, NC 27127-6820
(910) 578-1665
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN293732
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F02200245
CERTIFICATION NO
—
Enumeration date
04/22/2020
Last updated
04/22/2020
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