Individual
FREDA CHINASA EZEOKONKWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 WHITCHER ST NE STE 350, MARIETTA, GA 30060-1129
(770) 424-6893
(770) 528-9938
Mailing address
55 WHITCHER ST NE STE 350, MARIETTA, GA 30060-1129
(770) 424-6893
(770) 528-9938
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN-NP278885
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/08/2022
Last updated
02/06/2026
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