Individual
DR. OLUFUNKE PATIENCE MOMOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C, PMHNP-BC
Contact information
Practice address
11050 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845-1739
(833) 724-8326
(260) 266-7935
Mailing address
12423 STONEBORO CT, FORT WAYNE, IN 46845-9570
(317) 561-0525
(260) 327-4551
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71012002A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
71012002A
IN
Other
Enumeration date
12/26/2021
Last updated
04/29/2026
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