Individual
BOSEDE JANET AKILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1519 GREGORY AVE, UNION, NJ 07083-5567
(908) 906-4522
Mailing address
1519 GREGORY AVE, UNION, NJ 07083-5567
(908) 906-4522
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR13551200
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NR13551200
NJ
Other
Enumeration date
11/05/2014
Last updated
09/15/2020
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