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FARAH OCTAVIEN AGNP
NPI 1629629613
Clinical Nurse Specialist - Gerontology in Ellenwood, GA

Active since September 22, 2019
2873 VILLAGE PARK DR E, ELLENWOOD, GA 30294(678) 571-0918 Get Directions Write a Review

NPPES record last updated: September 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Farah Octavien Agnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FARAH OCTAVIEN AGNP (NPI 1629629613) is an individual gerontology provider in Ellenwood, Georgia, licensed in Georgia (AG03190021) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1629629613
Entity TypeIndividualFemale
Primary Taxonomy364SG0600X
Provider Legal NameFARAH OCTAVIENCredential: AGNP
Location Address2873 VILLAGE PARK DR EEllenwood, GA 30294-5712
Mailing Address2873 Village Park Dr EEllenwood, GA 30294-5712 · (678) 571-0918
Phone(678) 571-0918
Sole ProprietorYes
Enumeration DateSeptember 22, 2019
✔ NPI 1629629613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SG0600X
License✔ Licensed in GA · AG03190021
2873 VILLAGE PARK DR E, Ellenwood, GA 30294
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Farah Octavien's NPI number?

The NPI number for Farah Octavien is 1629629613. It was assigned to this individual provider in the NPPES registry on September 22, 2019.

Where is Farah Octavien located?

Farah Octavien practices at 2873 Village Park Dr E, Ellenwood, GA 30294. The listed phone number is (678) 571-0918.

What is Farah Octavien's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Gerontology, with taxonomy code 364SG0600X.

When was this NPI record last updated?

The NPPES record for Farah Octavien was last updated on September 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.