Individual
OLUYEMI SHORUNKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3840 HULEN ST, FORT WORTH, TX 76107-7277
(817) 569-4039
Mailing address
PO BOX 2603, FORT WORTH, TEXAS 76113
(972) 890-6237
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
000000
TX
Other
Enumeration date
09/29/2016
Last updated
05/01/2023
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