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

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.

See every abbreviation used in this directory →

Practice location Address checks out

2873 Village Park Dr E
Ellenwood, GA 30294-5712
Phone: (678) 571-0918
Show map & directions

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
Mailing address2873 Village Park Dr E, Ellenwood, GA 30294-5712