Individual
SUMMER JOY OKIMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
360 DOGWOOD TRL SE, MARIETTA, GA 30067-4653
(817) 808-3379
Mailing address
360 DOGWOOD TRL SE, MARIETTA, GA 30067-4653
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
0990974
CO
367A00000X
Advanced Practice Midwife
AP119151
TX
367A00000X
Advanced Practice Midwife
Primary
RN315907
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
217492201
—
TX
01
—
828N92
BCBS
TX
Enumeration date
07/06/2010
Last updated
08/13/2023
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