Provider Demographics
NPI:1497438139
Name:OLUWASAKIN, JANET OLAJUMOKE
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:OLAJUMOKE
Last Name:OLUWASAKIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 415
Mailing Address - Street 2:BOX 8189
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09114
Mailing Address - Country:US
Mailing Address - Phone:931-266-1196
Mailing Address - Fax:
Practice Address - Street 1:PSC 415
Practice Address - Street 2:BOX 8189
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09114
Practice Address - Country:US
Practice Address - Phone:931-266-1196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-09
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant