Provider Demographics
NPI:1326831165
Name:OJEKANMI, OLAWUMI O (LPN)
Entity type:Individual
Prefix:
First Name:OLAWUMI
Middle Name:O
Last Name:OJEKANMI
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 HILLSIDE RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11738-1672
Mailing Address - Country:US
Mailing Address - Phone:443-649-7081
Mailing Address - Fax:443-649-7081
Practice Address - Street 1:131 HILLSIDE RD
Practice Address - Street 2:
Practice Address - City:FARMINGVILLE
Practice Address - State:NY
Practice Address - Zip Code:11738-1672
Practice Address - Country:US
Practice Address - Phone:443-649-7081
Practice Address - Fax:443-649-7081
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-24
Last Update Date:2025-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2196713164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse