IDARA INOKON NPI 1740826643

NPI Information

  • NPI: 1740826643
  • Provider Name: IDARA INOKON
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2782 N COBB PKWY
    KENNESAW, GA
    ZIP 30152
  • Phone: (866) 389-2727

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NPI Details

Idara Inokon is a psychiatric/mental health nurse practitioner in Kennesaw, GA with 7 years of experience. Idara Inokon NPI is 1740826643. 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:

2782 N COBB PKWY
KENNESAW, GA
ZIP 30152-472
Phone: (866) 389-2727

The NPI 1740826643 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/26/2019 and was last updated on 10/10/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily37662TENNESSEENo
2363LF0000XNurse PractitionerFamily201317NORTH DAKOTANo
3363LF0000XNurse PractitionerFamily5021546NORTH CAROLINANo
4363LF0000XNurse PractitionerFamily121412WEST VIRGINIANo
5363LF0000XNurse PractitionerFamilyAC007091MARYLANDNo
6363LF0000XNurse PractitionerFamily014096CONNECTICUTNo
7363LF0000XNurse PractitionerFamilyF344819-01NEW YORKNo
8363LF0000XNurse PractitionerFamily344819NEW YORKNo
9363LP0808XNurse PractitionerPsychiatric/Mental HealthGAA-NP001676GEORGIAYes
10363LF0000XNurse PractitionerFamily26NJ15319800NEW JERSEYNo
11363LF0000XNurse PractitionerFamily0024192081VIRGINIANo
12363LF0000XNurse PractitionerFamily29580SOUTH CAROLINANo
13363LF0000XNurse PractitionerFamilyCP003464SOUTH DAKOTANo
14363LF0000XNurse PractitionerFamilySP032801PENNSYLVANIANo
15363LF0000XNurse PractitionerFamily1616433WISCONSINNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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