Individual
OLUBUNMI M COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-CNP
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(972) 207-0956
Mailing address
2919 BLACKSMITH CT, GRAND PRAIRIE, TX 75052-4578
(972) 207-0956
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1174201
TX
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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