Omisore, Jumoke Fadeke

Omisore, Jumoke Fadeke is an sole proprietor health care provider with primary practice located at 1529 Winfields Ln , Gambrills MD 21054-1127. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Omisore, Jumoke Fadeke can be contacted via phone (410) 790-9640.

Contact Information

Primary practice address
1529 Winfields Ln Gambrills MD 21054-1127
Phone: (410) 790-9640
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RI47715 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R147715 Maryland

Profile Details

NPI number 1629558572
LBN Legal business name Omisore, Jumoke Fadeke
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2018
Last updated Dec 13th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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