Individual
MORADEKE OMOLOLA OJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP-BC
Contact information
Practice address
601 N ELM ST, HIGH POINT, NC 27262-4331
(336) 781-2262
(336) 787-8615
Mailing address
PROVIDER ENROLLMENT, 100 KIMEL FOREST DRIVE, WINSTON-SALEM, NC 27103-6074
(367) 130-9473
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5016723
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5016723
NC
Other
Enumeration date
08/16/2022
Last updated
12/07/2023
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