Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Farah Octavien, AGNP

Individual provider Gerontology Clinical Nurse Specialist · NPI 1629629613

Farah Octavien, AGNP is a Gerontology Clinical Nurse Specialist in Ellenwood, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2019
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

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Practice location Address checks out

2873 Village Park Dr E
Ellenwood, GA 30294-5712
Phone: (678) 571-0918
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Clinical Nurse Specialist (primary) Taxonomy 364SG0600X · Licence AG03190021 (GA)

Record details

NPI number1629629613
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP
Sole proprietorYes
NPI enumeratedSeptember 22, 2019
Last updated in NPPESSeptember 22, 2019