Owoseni, Olukemi

Owoseni, Olukemi is an sole proprietor health care provider with primary practice located at 196 Dwight St , Jersey City NJ 07305-3204. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Owoseni, Olukemi can be contacted via phone (551) 258-4422.

Contact Information

Primary practice address
196 Dwight St Jersey City NJ 07305-3204
Phone: (551) 258-4422
Fax: (551) 214-0210
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ00719600 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP023523 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 26NJ00719600 New Jersey

Profile Details

NPI number 1205136215
LBN Legal business name Owoseni, Olukemi
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2010
Last updated Sep 28th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205136215 NPPES
New Jersey MEDICAID 0562521

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