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NPI Code Detail

MEDICARE: JOYCE OSARUMWENSE FNP

MEDICARE: JOYCE OSARUMWENSE FNP
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
1363L00000XNurse Practitioner697387TX
2363LF0000XFamily Nurse PractitionerAP119285TX

General Provider Information

NPI Number : 1811205818
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOYCE OSARUMWENSE FNP
Provider Business Mailing Address
First Line : 1717 MAIN ST
Second Line : STE 5200
City : DALLAS
State : TX
Zip : 75201-4612
Country : US
Telephone Number : 214-712-2000
Fax Number : 214-712-2444
Provider Business Practice Location Address
First Line : 6416 BROADWAY ST
Second Line :
City : GALVESTON
State : TX
Zip : 77551-1033
Country : US
Telephone Number : 409-744-5437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2010
Last Update Date : 03/25/2024

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Directions to “ JOYCE OSARUMWENSE FNP” Practice Location

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