Most Relevant Information
Provider Data
| NPI Number: | 1003503103 |
| Provider Name: | OLAYEMI O JOHNSON PMHNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | R202160 |
Most Important Dates
| Enumeration Date: | 04/19/2023 |
| Last Updated: | 04/19/2023 |
Provider Practice Location
2901 VALERIAN LN
UPPER MARLBORO
MD
207749215
Practice Location Phone/Fax
| Phone: | 2403816576 |
| Fax: |
Provider Mailing Location
2901 VALERIAN LN
UPPER MARLBORO
MD
207749215
Provider Mailing Phone/Fax
| Phone: | 2403816576 |
| Fax: |