Organization
JODANY HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IYOBOSA J OBASOGIE PMHNP (PRESIDENT)
(443) 630-8631
Entity
Organization
Contact information
Practice address
6 MALLOW CT, NOTTINGHAM, MD 21236-1300
(443) 630-8631
Mailing address
6 MALLOW CT, NOTTINGHAM, MD 21236-1300
(443) 630-8631
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/01/2021
Last updated
05/21/2025
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