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Individual

OLUMIDE T REMI-JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NURSE PRACTITIONER

Contact information

Practice address
11615 FOREST CENTRAL DR, DALLAS, TX 75243-3921
(855) 204-2502
(775) 402-4133
Mailing address
11615 FOREST CENTRAL DR, DALLAS, TX 75243-3921
(973) 462-1868
(775) 402-4133

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1151066
TX
363LF0000X
Family Nurse Practitioner
26NJ14883000
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1151066
TX

Other

Enumeration date
07/24/2023
Last updated
01/07/2026
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