Individual
MR. ODION JONATHAN OLOGBAUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
109 JILLIANS WAY, NEW CASTLE, DE 19720-8863
(302) 533-6158
(302) 533-6187
Mailing address
109 JILLIANS WAY, NEW CASTLE, DE 19720-8863
(302) 533-6158
(302) 533-6187
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
LB-0000238
DE
Other
Enumeration date
11/23/2010
Last updated
12/31/2025
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