# KINGDOM OASIS HEALTH AND WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316703861
- **Authorized official:** GLORIA OLATUBOSUN NP (NURSE PRACTITIONER MENTAL HEALTH)
- **Authorized official phone:** (551) 275-5674

## Contact information

- **Practice address:** 519 LAKEHURST RD STE 92, BROWNS MILLS, NJ 08015-6000
- **Practice address phone:** (551) 275-5674
- **Mailing address:** 519 LAKEHURST RD STE 92, BROWNS MILLS, NJ 08015-6000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/22/2024
- **Last updated:** 06/03/2025