Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | LP-00013 | DE |
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | LP-000135 | DE |
N | 363LP2300X | Nurse Practitioner - Primary Care | LP-00013 | DE |
Y | 363LP2300X | Nurse Practitioner - Primary Care | LP-000135 | DE |
NPI | 1083048748 |
---|---|
Provider Name | Florence Akouegnon |
First Address | Wilmington, DE 19808-4068 |
Second Address | Wilmington, DE 19808-4068 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2013 |
Last Update Date | 05/12/2021 |