Farah Octavien, AGNP is a gerontology clinical nurse specialist in Ellenwood, GA. Farah Octavien, AGNP NPI is 1629629613. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
2873 VILLAGE PARK DR E
ELLENWOOD, GA
ZIP 30294-712
Phone: (678) 571-0918
The NPI 1629629613 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.
The enumeration date for this NPI number is 9/22/2019 and was last updated on 9/22/2019.