Healthcare Provider Details

I. General information

NPI: 1487231015
Provider Name (Legal Business Name): JANEFRANCES OLOGOLO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2021
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6846 S CANTON AVE STE 530
TULSA OK
74136-3417
US

IV. Provider business mailing address

3171 S 129TH EAST AVE
TULSA OK
74134-3205
US

V. Phone/Fax

Practice location:
  • Phone: 918-899-6470
  • Fax: 949-703-7767
Mailing address:
  • Phone: 918-899-6470
  • Fax: 949-703-7767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR0100448
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR0100448
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: