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1962083634 NPI number — OMOSEDE JEMIMAH NOSA-OVIASU RN

NPI Number: 1962083634
Health Care Provider/Practitioner: OMOSEDE JEMIMAH NOSA-OVIASU RN

Information about “1962083634” NPI (OMOSEDE JEMIMAH NOSA-OVIASU RN) exists in 1962083634 in HTML format HTML  |  1962083634 in plain Text format TXT  |  1962083634 in PDF (Portable Document Format) PDF  |  1962083634 in an XML format XML  formats.

NPI Number : 1962083634 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962083634",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NOSA-OVIASU",
    "FirstName": "OMOSEDE",
    "MiddleName": "JEMIMAH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "985 SPANISH MOSS TRL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOGANVILLE",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30052-6733",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "339-440-1595",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1397 MANCHESTER DR NE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CONYERS",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30012",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "339-440-1595",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/15/2021",
    "LastUpdateDate": "04/15/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LP0808X",
        "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
        "LicenseNumber": "RN241611",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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