Healthcare Provider Details

I. General information

NPI: 1023494978
Provider Name (Legal Business Name): OLUWABUNMI BROWNE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2015
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 TERRI LN
BURLINGTON NJ
08016-4906
US

IV. Provider business mailing address

5 TERRI LN
BURLINGTON NJ
08016-4906
US

V. Phone/Fax

Practice location:
  • Phone: 609-386-4737
  • Fax: 609-386-4703
Mailing address:
  • Phone: 609-386-4737
  • Fax: 609-386-4703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ15595500
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number26NR14358700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: