Healthcare Provider Details

I. General information

NPI: 1225266653
Provider Name (Legal Business Name): JUNISA SESAY LPN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2009
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

362 INVERNESS AVE
DELAWARE OH
43015-8185
US

IV. Provider business mailing address

362 INVERNESS AVE
DELAWARE OH
43015-8185
US

V. Phone/Fax

Practice location:
  • Phone: 614-432-4092
  • Fax: 614-500-7093
Mailing address:
  • Phone: 614-432-4092
  • Fax: 614-500-7093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0041272
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number447602
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: