Individual
JANE OGUNSEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5496 E TAFT RD, NORTH SYRACUSE, NY 13212-3784
(315) 552-6700
(315) 552-6701
Mailing address
1643 NW 136TH AVE, BL H ST 100 MSC 11607-0002, SUNRISE, FL 33323-2857
(954) 377-2939
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
343527
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F407095-01
NY
Other
Enumeration date
09/25/2018
Last updated
06/10/2025
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