Individual
TABITHA AKUOKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
148 HIGHWAY 105 EXT STE 104, BOONE, NC 28607-5682
(828) 386-2222
Mailing address
1517 STONE WEALTH DR, KNIGHTDALE, NC 27545-7562
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
5016814
NC
Other
Enumeration date
08/30/2022
Last updated
09/12/2022
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