Individual
LA RESHIA NICHOLE OKUBENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
212 NORTHSIDE DR, VALDOSTA, GA 31602-1858
(229) 242-3060
Mailing address
212 NORTHSIDE DR, VALDOSTA, GA 31602-1858
(229) 242-3060
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
15470
CT
363LF0000X
Family Nurse Practitioner
Primary
4016204
KY
Other
Enumeration date
02/13/2024
Last updated
10/09/2025
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