Provider Demographics
NPI:1154564276
Name:ELOKOBI, FIDELIS NJOK (RN BSN)
Entity type:Individual
Prefix:MR
First Name:FIDELIS
Middle Name:NJOK
Last Name:ELOKOBI
Suffix:
Gender:M
Credentials:RN BSN
Other - Prefix:
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Mailing Address - Street 1:5130 SALEM AVE
Mailing Address - Street 2:
Mailing Address - City:TROTWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:45426-2042
Mailing Address - Country:US
Mailing Address - Phone:937-529-4443
Mailing Address - Fax:937-715-4363
Practice Address - Street 1:1007 MEADOWSWEET DR
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:OH
Practice Address - Zip Code:45315-7718
Practice Address - Country:US
Practice Address - Phone:937-837-0607
Practice Address - Fax:937-837-0607
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-20
Last Update Date:2022-04-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OHRN-313379163W00000X
OHF01220026363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse