Provider Demographics
NPI:1922824952
Name:AKOJENU, OMOSEFE JUMOKE (RN)
Entity type:Individual
Prefix:
First Name:OMOSEFE
Middle Name:JUMOKE
Last Name:AKOJENU
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27118 DAVIS HILL LN
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-4591
Mailing Address - Country:US
Mailing Address - Phone:281-217-3552
Mailing Address - Fax:
Practice Address - Street 1:27118 DAVIS HILL LN
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-4591
Practice Address - Country:US
Practice Address - Phone:281-217-3552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX983098163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse