Provider Demographics
NPI:1003439639
Name:OGUNJOBI, OLUFUNSO MERCY (PMHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:OLUFUNSO
Middle Name:MERCY
Last Name:OGUNJOBI
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 BOULEVARD ST
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-3802
Mailing Address - Country:US
Mailing Address - Phone:336-781-2189
Mailing Address - Fax:336-787-6272
Practice Address - Street 1:320 BOULEVARD ST
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-3802
Practice Address - Country:US
Practice Address - Phone:336-781-2189
Practice Address - Fax:336-787-6272
Is Sole Proprietor?:No
Enumeration Date:2020-05-18
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2020004352363LP0808X
NC5016195363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health