Provider Demographics
NPI:1639060064
Name:AKPOM, CHUKWUKA JEFFREY
Entity type:Individual
Prefix:
First Name:CHUKWUKA
Middle Name:JEFFREY
Last Name:AKPOM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8225 DAVE MCKINNEY AVE UNIT 2407
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28213-5636
Mailing Address - Country:US
Mailing Address - Phone:202-256-2721
Mailing Address - Fax:
Practice Address - Street 1:8225 DAVE MCKINNEY AVE UNIT 2407
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28213-5636
Practice Address - Country:US
Practice Address - Phone:202-256-2721
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician