Johnson, Omotola Iyabo

Johnson, Omotola Iyabo is an sole proprietor health care provider with primary practice located at 7607 Grape St , Houston TX 77074-4223. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Johnson, Omotola Iyabo can be contacted via phone (401) 499-0776.

Contact Information

Primary practice address
7607 Grape St Houston TX 77074-4223
Phone: (401) 499-0776
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 1032755 Texas

Profile Details

NPI number 1639756760
LBN Legal business name Johnson, Omotola Iyabo
Credentials PMHNP BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2021
Last updated Mar 25th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers