Provider Demographics
NPI:1346574258
Name:OKOTH, JEPHLINE (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:JEPHLINE
Middle Name:
Last Name:OKOTH
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20318 TARPON BAY LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-5184
Mailing Address - Country:US
Mailing Address - Phone:832-887-4600
Mailing Address - Fax:
Practice Address - Street 1:20318 TARPON BAY LN
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-5184
Practice Address - Country:US
Practice Address - Phone:832-887-4600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-24
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1036298363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health