Provider Demographics
NPI:1871155630
Name:AKPAN, ATIM JOSEPH (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MRS
First Name:ATIM
Middle Name:JOSEPH
Last Name:AKPAN
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
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Mailing Address - Street 1:MINUTECLINIC #4604 865 N HIGHLAND AVE NE,
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30306-5306
Mailing Address - Country:US
Mailing Address - Phone:404-733-8092
Mailing Address - Fax:265-438-5108
Practice Address - Street 1:MINUTECLINIC #4604 865 N HIGHLAND AVE NE,
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30306-5306
Practice Address - Country:US
Practice Address - Phone:404-733-8092
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-02
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL1-139558207Q00000X
GARN298943363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine