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

Jackline Otieno, FNP

Individual provider Family Nurse Practitioner · NPI 1477481703

Jackline Otieno, FNP is a Family Nurse Practitioner in Fuquay Varina, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2026
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

793 Avery Pond Dr
Fuquay Varina, NC 27526-4520
Phone: (201) 377-8121
Fax: (201) 377-8121
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5024407 (NC)

Record details

NPI number1477481703
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedMay 8, 2026
Last updated in NPPESMay 8, 2026
Certification dateMay 8, 2026

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