Individual
JAYEOLA OLOLADE OSINOWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1113 BLACK RAIL ST, LA MARQUE, TX 77568-1975
(346) 220-3534
Mailing address
1113 BLACK RAIL ST, LA MARQUE, TX 77568-1975
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1018254
TX
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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