Provider Demographics
NPI:1306018445
Name:UZOKWE, HELEN O (NP-C, DNP)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:O
Last Name:UZOKWE
Suffix:
Gender:F
Credentials:NP-C, DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5337 OLD NATIONAL HWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:COLLEGE PARK
Mailing Address - State:GA
Mailing Address - Zip Code:30349-3208
Mailing Address - Country:US
Mailing Address - Phone:404-767-7777
Mailing Address - Fax:404-767-7770
Practice Address - Street 1:5337 OLD NATIONAL HWY
Practice Address - Street 2:SUITE 100
Practice Address - City:COLLEGE PARK
Practice Address - State:GA
Practice Address - Zip Code:30349-3208
Practice Address - Country:US
Practice Address - Phone:404-767-7777
Practice Address - Fax:404-767-7770
Is Sole Proprietor?:No
Enumeration Date:2008-03-28
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN145805363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003119198CMedicaid
GA202I506612Medicare PIN