Farah Octavien, AGNP is a
Clinical Nurse Specialist - Gerontology based in Ellenwood, Georgia. Farah Octavien is licensed to practice in Georgia (license number AG03190021) and her current practice location is
2873 Village Park Dr E, Ellenwood, Georgia. She can be reached at her office (for appointments etc.) via phone at
(678) 571-0918.
NPI number for Farah Octavien is 1629629613 and her current mailing address is 2873 Village Park Dr E, Ellenwood, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629629613.
Provider's Profile
| Full Name | Farah Octavien |
|---|
| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Gerontology |
|---|
| Location | 2873 Village Park Dr E, Ellenwood, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1629629613
- Provider Enumeration Date: 09/22/2019
- Last Update Date: 09/22/2019
Medical Identifiers
Medical identifiers for Farah Octavien such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629629613 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364SG0600X | Clinical Nurse Specialist - Gerontology | AG03190021 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Farah Octavien is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Farah Octavien, AGNP
2873 Village Park Dr E,
Ellenwood, GA 30294-5712
Ph: (678) 571-0918 | Farah Octavien, AGNP
2873 Village Park Dr E,
Ellenwood, GA 30294-5712
Ph: (678) 571-0918 |
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