Provider Demographics
NPI:1063033496
Name:ONSOMBI, JANET OKENYURI (LVN)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:OKENYURI
Last Name:ONSOMBI
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2408 SILVERBROOK LN APT 2021
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-6291
Mailing Address - Country:US
Mailing Address - Phone:214-900-8098
Mailing Address - Fax:
Practice Address - Street 1:2408 SILVERBROOK LN APT 2021
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006-6291
Practice Address - Country:US
Practice Address - Phone:214-900-8098
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-27
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX329634164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse