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NPI Code Detail

MEDICARE: MRS. OLUWAKEMI AJIBOLAMI OJO PMHNP- BC

MEDICARE: MRS. OLUWAKEMI AJIBOLAMI OJO PMHNP- BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0808XPsychiatric/Mental Health Registered Nurse2020042686TX
22084P0800XPsychiatry Physician1021457TX
3364SP0808XPsychiatric/Mental Health Clinical Nurse Specialist1021457TX
4363LP0808XPsychiatric/Mental Health Nurse Practitioner1021457TX

General Provider Information

NPI Number : 1205438173
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. OLUWAKEMI AJIBOLAMI OJO PMHNP- BC
Provider Business Mailing Address
First Line : 14819 WATERSIDE VIEW CT
Second Line :
City : HOUSTON
State : TX
Zip : 77044-2077
Country : US
Telephone Number : 281-323-9023
Fax Number : 877-235-1888
Provider Business Practice Location Address
First Line : 23051 KINGWOOD PLACE DR STE 110
Second Line :
City : KINGWOOD
State : TX
Zip : 77339-3962
Country : US
Telephone Number : 844-824-8775
Fax Number : 281-648-2200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2020
Last Update Date : 04/02/2025

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