Provider Demographics
NPI:1316479876
Name:AKPAN, JUSTINA (AGNP)
Entity type:Individual
Prefix:
First Name:JUSTINA
Middle Name:
Last Name:AKPAN
Suffix:
Gender:F
Credentials:AGNP
Other - Prefix:
Other - First Name:JUSTINA
Other - Middle Name:
Other - Last Name:AKPAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AGNP
Mailing Address - Street 1:1201 CREEK WAY DR, SUITE C
Mailing Address - Street 2:PYCHIATRIC SOLUTIONS
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478
Mailing Address - Country:US
Mailing Address - Phone:281-302-6636
Mailing Address - Fax:281-786-3370
Practice Address - Street 1:1201 CREEK WAY DR, SUITE C
Practice Address - Street 2:PYCHIATRIC SOLUTIONS
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478
Practice Address - Country:US
Practice Address - Phone:281-302-6636
Practice Address - Fax:281-786-3370
Is Sole Proprietor?:No
Enumeration Date:2017-04-03
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP132706363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health