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NPI Code Detail

MEDICARE: ELIZABETH OLORUNSOGO UZOMA APRN

MEDICARE: ELIZABETH OLORUNSOGO UZOMA APRN
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner4704410786MI
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAP61409975WA
3363LP0808XPsychiatric/Mental Health Nurse Practitioner0024186624VA
4363LP0808XPsychiatric/Mental Health Nurse Practitioner405367NY
5363LP0808XPsychiatric/Mental Health Nurse Practitioner205617AK
6363LP0808XPsychiatric/Mental Health Nurse PractitionerC-APN.0102878-C-NPCO
7363LP0808XPsychiatric/Mental Health Nurse PractitionerAP137027TX
8363LP0808XPsychiatric/Mental Health Nurse PractitionerSP029835PA
9363LP0808XPsychiatric/Mental Health Nurse Practitioner10008363OR

General Provider Information

NPI Number : 1326542523
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH OLORUNSOGO UZOMA APRN
Provider Business Mailing Address
First Line : 1021 W OAKLAND AVE STE 310
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37604-2192
Country : US
Telephone Number : 423-302-6565
Fax Number :
Provider Business Practice Location Address
First Line : 5901 LONG DR
Second Line :
City : HOUSTON
State : TX
Zip : 77087-1003
Country : US
Telephone Number : 713-970-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2018
Last Update Date : 12/09/2025

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